| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
881 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
485 |
379 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
756 |
268 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
273 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$4.52 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
48 |
42 |
$1.48 |