| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
856 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
215 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
27 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
62 |
$379.08 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
94 |
$230.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
63 |
57 |
$15.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
62 |
55 |
$4.21 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
30 |
$0.00 |
| 99491 |
Ccm add 20min |
13 |
12 |
$0.00 |