| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
652 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
182 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
121 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
189 |
134 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
44 |
$532.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
64 |
$39.36 |