| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,476 |
2,906 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
591 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
641 |
528 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
512 |
242 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$878.89 |
| 87807 |
|
44 |
40 |
$405.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$263.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
120 |
115 |
$226.29 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
46 |
41 |
$209.23 |