| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,743 |
2,256 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,553 |
1,225 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,389 |
1,060 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
89 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
435 |
372 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$902.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
36 |
$856.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
79 |
$809.00 |
| 80305 |
|
167 |
125 |
$472.05 |
| 36415 |
Collection of venous blood by venipuncture |
354 |
302 |
$359.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
284 |
225 |
$219.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
840 |
687 |
$189.77 |