| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
841 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
47 |
$962.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
20 |
$246.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
80 |
55 |
$162.34 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$22.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
144 |
99 |
$22.58 |