| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
269 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
53 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
166 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
22 |
$549.92 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
69 |
64 |
$514.48 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
68 |
63 |
$260.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
56 |
$77.50 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
58 |
$67.35 |
| 81003 |
|
38 |
31 |
$30.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
58 |
$5.20 |