| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,175 |
2,724 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,545 |
1,377 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
753 |
612 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
80 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
65 |
$626.16 |
| 90756 |
|
25 |
24 |
$366.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$212.46 |
| 81003 |
|
70 |
58 |
$80.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
101 |
89 |
$59.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
263 |
237 |
$56.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
27 |
$29.28 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
71 |
61 |
$25.03 |