| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,281 |
3,659 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,419 |
2,065 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,396 |
1,182 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
455 |
405 |
$18K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
219 |
187 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,557 |
1,131 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
71 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
70 |
61 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,224 |
1,122 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
28 |
$2K |
| 81003 |
|
407 |
310 |
$462.17 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
306 |
259 |
$427.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
505 |
435 |
$198.84 |
| 81025 |
|
41 |
38 |
$170.99 |