| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
312 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
208 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
112 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
173 |
165 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
70 |
$964.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$595.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$30.24 |