| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,993 |
2,415 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,036 |
778 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
162 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
742 |
389 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
465 |
246 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
215 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,317 |
1,021 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
58 |
$1K |
| 81003 |
|
319 |
257 |
$327.99 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
15 |
$293.12 |
| 81002 |
|
62 |
39 |
$65.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
255 |
191 |
$51.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$19.10 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
22 |
12 |
$13.09 |