| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,987 |
7,540 |
$395K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,262 |
2,716 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
489 |
433 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
312 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
635 |
569 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,199 |
659 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,414 |
1,154 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
15 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
181 |
141 |
$83.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
277 |
235 |
$55.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
16 |
$8.23 |