| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
494 |
195 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
260 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
194 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
269 |
$17K |
| 98926 |
|
297 |
154 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
120 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
53 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$537.60 |
| 98925 |
|
36 |
25 |
$485.10 |
| 81025 |
|
19 |
18 |
$148.68 |
| 81002 |
|
38 |
37 |
$123.58 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$58.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
30 |
$0.00 |