| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,373 |
1,845 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,351 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,477 |
689 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
173 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
656 |
363 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
645 |
602 |
$9K |
| 99051 |
|
934 |
830 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
31 |
$1K |
| 99422 |
|
21 |
21 |
$584.82 |
| 99407 |
|
13 |
13 |
$251.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
70 |
57 |
$80.01 |