| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,214 |
2,856 |
$207K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,352 |
1,455 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,565 |
1,473 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,650 |
856 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
977 |
601 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,985 |
1,163 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
95 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
496 |
403 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
16 |
$273.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,517 |
951 |
$118.04 |
| 81003 |
|
14 |
12 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
13 |
$12.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
268 |
179 |
$0.00 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
60 |
37 |
$0.00 |