| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,282 |
2,058 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,909 |
2,722 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
99 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
71 |
$485.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
15 |
$299.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$268.08 |
| 80053 |
Comprehensive metabolic panel |
38 |
38 |
$224.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
90 |
88 |
$210.32 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
51 |
37 |
$67.22 |
| 36415 |
Collection of venous blood by venipuncture |
309 |
287 |
$34.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$9.06 |