| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,064 |
1,945 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,117 |
1,074 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
243 |
243 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
481 |
471 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
362 |
$5K |
| 87807 |
|
129 |
127 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
17 |
$198.81 |
| 81000 |
|
54 |
54 |
$180.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
35 |
$39.64 |
| 96160 |
|
201 |
201 |
$0.00 |