| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,311 |
1,873 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,442 |
1,161 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
857 |
662 |
$7K |
| 99442 |
|
333 |
260 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
52 |
$2K |
| 86328 |
|
47 |
43 |
$919.07 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$693.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
40 |
$475.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
320 |
270 |
$185.11 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
140 |
$183.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
154 |
130 |
$174.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
540 |
440 |
$146.75 |