| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
354 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
98 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
102 |
$3K |
| 99407 |
|
59 |
58 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
46 |
46 |
$670.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$448.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$171.12 |
| 87807 |
|
13 |
13 |
$158.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
16 |
$38.43 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$32.11 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.60 |