| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,962 |
4,879 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,130 |
1,805 |
$130K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,682 |
3,206 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,675 |
1,398 |
$86K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,925 |
1,607 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,257 |
1,982 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
294 |
282 |
$9K |
| 87400 |
|
94 |
84 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
31 |
$1K |
| 87807 |
|
81 |
59 |
$450.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
55 |
$449.29 |
| 99072 |
|
472 |
335 |
$12.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
16 |
$10.84 |
| 81003 |
|
21 |
12 |
$9.75 |
| 99000 |
|
32 |
29 |
$0.00 |