| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,535 |
2,368 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
303 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
291 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
924 |
900 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,379 |
1,350 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
287 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$2K |
| 87807 |
|
34 |
34 |
$413.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
104 |
102 |
$46.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$27.72 |