| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
877 |
797 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
320 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
125 |
102 |
$736.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$411.73 |
| 80053 |
Comprehensive metabolic panel |
154 |
149 |
$404.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
54 |
$235.77 |
| 80061 |
Lipid panel |
43 |
42 |
$157.08 |
| 80305 |
|
45 |
44 |
$141.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
30 |
$47.98 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
156 |
$9.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
22 |
12 |
$1.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
18 |
$0.00 |