| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
903 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
738 |
596 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
148 |
111 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
66 |
$816.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
48 |
$804.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
65 |
45 |
$67.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
112 |
91 |
$25.87 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
21 |
16 |
$1.06 |