| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,698 |
2,972 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
483 |
458 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,034 |
498 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
732 |
622 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
930 |
859 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
563 |
508 |
$3K |
| 93923 |
|
16 |
15 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
128 |
109 |
$2K |
| 95943 |
|
16 |
15 |
$1K |
| 95923 |
|
16 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
36 |
$520.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
366 |
336 |
$447.31 |
| 80305 |
|
41 |
36 |
$398.61 |
| 81002 |
|
160 |
147 |
$316.24 |
| 96160 |
|
32 |
28 |
$69.29 |