| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,239 |
5,836 |
$299K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,182 |
1,011 |
$48K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
404 |
356 |
$2K |
| 92567 |
|
204 |
186 |
$2K |
| 86318 |
|
237 |
196 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
138 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
37 |
$891.68 |
| 87276 |
|
92 |
80 |
$469.08 |
| 87275 |
|
92 |
80 |
$400.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
123 |
91 |
$345.04 |
| 99441 |
|
49 |
39 |
$168.70 |