| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,699 |
1,385 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
93 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
385 |
144 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
101 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
30 |
$861.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$5.83 |