| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,224 |
1,333 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
576 |
218 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
592 |
438 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
289 |
151 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
50 |
25 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
12 |
$572.44 |
| 87807 |
|
54 |
41 |
$435.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
60 |
45 |
$96.95 |
| 81002 |
|
19 |
12 |
$51.44 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
25 |
$37.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
16 |
$13.80 |