| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,137 |
758 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
1,076 |
$74K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,178 |
1,614 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,139 |
1,607 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
267 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
357 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,151 |
866 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
365 |
255 |
$2K |
| 87807 |
|
89 |
72 |
$484.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
239 |
176 |
$140.86 |
| 81002 |
|
32 |
25 |
$66.00 |
| 99000 |
|
101 |
87 |
$25.20 |