| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
581 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
209 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
38 |
$438.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$266.55 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
33 |
25 |
$36.80 |