| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
575 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
358 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
383 |
338 |
$9K |
| 87400 |
|
733 |
375 |
$7K |
| 87430 |
|
242 |
207 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
39 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
84 |
$677.89 |
| 99051 |
|
43 |
27 |
$135.00 |
| 81001 |
|
24 |
15 |
$22.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
38 |
$16.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
17 |
$14.28 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
187 |
147 |
$0.80 |
| A4215 |
Needle, sterile, any size, each |
187 |
147 |
$0.40 |