| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
610 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,036 |
$51K |
| 80305 |
|
642 |
294 |
$4K |
| 99406 |
|
324 |
235 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
111 |
96 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
256 |
246 |
$524.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
20 |
$253.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$153.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
33 |
$43.04 |