| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,356 |
3,052 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
194 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
181 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
209 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
49 |
$2K |
| 87807 |
|
19 |
15 |
$191.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
12 |
$93.22 |
| 81002 |
|
14 |
13 |
$31.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$9.10 |
| J3490 |
Unclassified drugs |
21 |
18 |
$0.00 |