| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,599 |
2,052 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
130 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
317 |
257 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
150 |
$3K |
| 87428 |
|
56 |
51 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
82 |
$971.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
98 |
$554.41 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
252 |
$519.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
12 |
$365.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
53 |
$34.88 |
| 3078F |
|
27 |
22 |
$0.00 |
| 3079F |
|
29 |
26 |
$0.00 |
| 3008F |
|
96 |
76 |
$0.00 |
| 3074F |
|
109 |
91 |
$0.00 |