| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,125 |
1,462 |
$161K |
| 99214 |
|
926 |
692 |
$51K |
| 99205 |
Prolong outpt/office vis |
469 |
453 |
$46K |
| 96372 |
|
368 |
231 |
$6K |
| 99213 |
|
120 |
106 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
272 |
250 |
$4K |
| 99204 |
|
15 |
13 |
$967.14 |
| A4927 |
Gloves, non-sterile, per 100 |
374 |
342 |
$435.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
313 |
209 |
$220.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
311 |
202 |
$109.22 |
| A4620 |
Variable concentration mask |
205 |
167 |
$70.54 |
| A4930 |
Gloves, sterile, per pair |
151 |
124 |
$40.16 |
| 94760 |
|
1,823 |
1,478 |
$15.63 |
| A4928 |
Surgical mask, per 20 |
379 |
345 |
$13.08 |