| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,319 |
1,729 |
$67K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,028 |
611 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
756 |
392 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
166 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
246 |
159 |
$595.73 |
| 96415 |
|
54 |
40 |
$199.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
192 |
119 |
$38.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
34 |
27 |
$26.84 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$17.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.03 |