| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,123 |
966 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
838 |
$54K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
499 |
465 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
124 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
162 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
154 |
144 |
$3K |
| 99000 |
|
460 |
418 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
287 |
222 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
184 |
$2K |
| 87899 |
|
154 |
144 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
136 |
133 |
$93.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$12.44 |
| 99401 |
|
15 |
14 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
105 |
105 |
$0.00 |