| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
517 |
516 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
227 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
107 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
34 |
$990.26 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
43 |
42 |
$278.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$124.92 |
| 81002 |
|
29 |
28 |
$89.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
15 |
$31.13 |