| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,878 |
3,121 |
$167K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,244 |
1,920 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
449 |
430 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,160 |
508 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
43 |
$358.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
193 |
175 |
$264.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$255.48 |
| 87400 |
|
125 |
97 |
$106.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
63 |
$13.56 |
| 90686 |
|
55 |
43 |
$0.00 |