| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,332 |
2,377 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,183 |
714 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
416 |
320 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
115 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
168 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
412 |
277 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$731.16 |
| 36415 |
Collection of venous blood by venipuncture |
764 |
563 |
$708.52 |
| 87428 |
|
13 |
13 |
$635.72 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
105 |
71 |
$65.04 |
| 81002 |
|
13 |
12 |
$19.24 |