| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,990 |
4,303 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,960 |
5,118 |
$158K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,290 |
3,796 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,775 |
3,337 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,883 |
5,058 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
687 |
606 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
395 |
326 |
$24K |
| 96127 |
|
1,793 |
1,576 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
166 |
164 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
273 |
227 |
$3K |
| 87807 |
|
182 |
144 |
$1K |
| 81003 |
|
321 |
273 |
$72.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
21 |
21 |
$4.55 |
| 3725F |
|
523 |
446 |
$0.00 |
| 3351F |
|
227 |
198 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |