| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,774 |
1,409 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
462 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
68 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
371 |
308 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
45 |
$690.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$128.03 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
85 |
63 |
$84.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
27 |
$39.83 |