| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,674 |
1,386 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
971 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
384 |
346 |
$23K |
| 0001A |
|
77 |
70 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
961 |
754 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
59 |
$1K |
| 0002A |
|
53 |
53 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
26 |
$474.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
173 |
146 |
$344.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
296 |
254 |
$165.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$4.31 |
| 90756 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |