| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
442 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
260 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
146 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
148 |
$3K |
| 87428 |
|
29 |
27 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
14 |
$350.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
40 |
$200.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$133.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$26.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
16 |
$7.35 |