| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,949 |
3,192 |
$118K |
| 86328 |
|
401 |
388 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
527 |
508 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
537 |
519 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
263 |
251 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
289 |
279 |
$3K |
| 81002 |
|
672 |
647 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$719.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$698.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
91 |
86 |
$120.60 |
| 36415 |
Collection of venous blood by venipuncture |
787 |
744 |
$0.00 |
| 91301 |
|
14 |
13 |
$0.00 |