| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
458 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
214 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
302 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
441 |
341 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
117 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
19 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
83 |
69 |
$418.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
143 |
105 |
$246.77 |
| 81002 |
|
60 |
57 |
$164.61 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
14 |
$93.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
109 |
94 |
$39.40 |
| 3078F |
|
95 |
70 |
$0.00 |
| 3074F |
|
167 |
131 |
$0.00 |