| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,007 |
3,643 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,565 |
2,651 |
$109K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
613 |
397 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
81 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,841 |
1,489 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$727.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
36 |
$415.30 |
| 81003 |
|
111 |
92 |
$106.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
13 |
$82.92 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
20 |
13 |
$67.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
32 |
$10.41 |