| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,296 |
4,852 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,510 |
2,099 |
$107K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
846 |
556 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
403 |
263 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
542 |
423 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
88 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,288 |
944 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
102 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$937.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
506 |
428 |
$836.79 |
| 36415 |
Collection of venous blood by venipuncture |
223 |
207 |
$353.24 |
| 99442 |
|
28 |
21 |
$315.01 |
| 81003 |
|
236 |
206 |
$291.77 |
| 80305 |
|
20 |
14 |
$89.80 |
| 86308 |
|
26 |
22 |
$78.28 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
379 |
292 |
$3.20 |
| 36416 |
|
29 |
25 |
$2.02 |