| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
288 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
67 |
$619.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$191.10 |
| 92551 |
|
29 |
28 |
$190.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
77 |
$184.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
17 |
$121.20 |
| 81025 |
|
13 |
13 |
$60.60 |
| 81002 |
|
48 |
42 |
$56.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
55 |
43 |
$50.47 |
| 99173 |
|
35 |
34 |
$22.00 |
| 94761 |
|
43 |
35 |
$17.55 |