| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
908 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
676 |
581 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
536 |
386 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
137 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
53 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
183 |
164 |
$229.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
17 |
$181.60 |
| 81002 |
|
149 |
131 |
$180.03 |
| 90686 |
|
21 |
17 |
$118.51 |
| 90756 |
|
14 |
13 |
$73.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
26 |
$52.12 |