| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,644 |
1,982 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
690 |
315 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
551 |
427 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
483 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$731.55 |
| 3008F |
|
411 |
339 |
$667.44 |
| 1159F |
|
277 |
227 |
$407.43 |
| 1160F |
|
277 |
226 |
$407.43 |
| 90686 |
|
40 |
30 |
$271.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
16 |
$156.97 |
| 99490 |
Ccm add 20min |
27 |
27 |
$135.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
244 |
195 |
$119.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$25.36 |
| 3077F |
|
23 |
17 |
$20.00 |
| 3074F |
|
83 |
78 |
$20.00 |
| 3078F |
|
79 |
73 |
$10.00 |