| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,936 |
7,171 |
$455K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,195 |
3,339 |
$325K |
| 87428 |
|
475 |
325 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,854 |
1,603 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
239 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
322 |
297 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,035 |
447 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
379 |
296 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
86 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
189 |
172 |
$3K |
| 87807 |
|
26 |
19 |
$370.88 |
| 81003 |
|
88 |
82 |
$175.59 |
| 81002 |
|
54 |
38 |
$120.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
13 |
$10.01 |
| 99000 |
|
4,702 |
3,820 |
$2.06 |
| 99072 |
|
569 |
539 |
$0.00 |