| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,575 |
3,761 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,304 |
1,924 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,883 |
2,594 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,863 |
2,421 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
619 |
491 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,083 |
3,348 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
233 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
331 |
313 |
$9K |
| 96127 |
|
1,969 |
1,583 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
104 |
$1K |
| 87807 |
|
118 |
100 |
$957.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
26 |
$16.76 |
| 81003 |
|
33 |
25 |
$3.38 |
| 3351F |
|
447 |
353 |
$0.00 |
| 3725F |
|
331 |
297 |
$0.00 |