| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
950 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
970 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
193 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
94 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
63 |
$736.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
26 |
$442.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$249.87 |
| 90688 |
|
15 |
13 |
$160.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$22.84 |
| 81003 |
|
22 |
14 |
$16.00 |