| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,313 |
1,177 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
739 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
210 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
180 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,680 |
759 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
379 |
324 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
919 |
841 |
$3K |
| 99051 |
|
1,063 |
951 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
152 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
13 |
$241.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
43 |
$170.79 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
45 |
42 |
$153.40 |
| 81003 |
|
51 |
50 |
$28.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$18.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
60 |
52 |
$17.48 |
| 86756 |
|
15 |
15 |
$0.00 |