| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
787 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
278 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
264 |
217 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
239 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
54 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
127 |
104 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
27 |
$898.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$652.08 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
36 |
$182.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
54 |
$38.37 |