| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
242 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
96 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
37 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
40 |
$877.03 |
| 80305 |
|
56 |
49 |
$516.20 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
76 |
$252.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$172.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$10.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |