| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,515 |
1,983 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
312 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
612 |
491 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
891 |
315 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
443 |
313 |
$4K |
| 87428 |
|
88 |
79 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
35 |
$4K |
| 80061 |
Lipid panel |
169 |
145 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
31 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
535 |
452 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 81003 |
|
529 |
417 |
$986.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
129 |
93 |
$698.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
406 |
328 |
$671.58 |
| 81025 |
|
56 |
43 |
$306.40 |
| 82962 |
|
16 |
13 |
$36.14 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
29 |
26 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
29 |
26 |
$0.00 |