| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,877 |
3,598 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,036 |
919 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,844 |
1,477 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
105 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$843.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
74 |
$636.57 |
| 36415 |
Collection of venous blood by venipuncture |
859 |
781 |
$606.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
935 |
777 |
$196.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
924 |
813 |
$135.65 |
| 81003 |
|
126 |
120 |
$94.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
207 |
183 |
$88.46 |