| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,199 |
2,370 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
584 |
461 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
73 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
13 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
30 |
24 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
74 |
$564.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
22 |
$176.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
63 |
39 |
$30.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
71 |
$14.35 |
| 3074F |
|
328 |
250 |
$0.00 |
| 3079F |
|
32 |
25 |
$0.00 |
| 3078F |
|
174 |
126 |
$0.00 |