| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,507 |
5,640 |
$525K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,836 |
3,607 |
$327K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,338 |
2,965 |
$243K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,628 |
2,445 |
$184K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,009 |
3,487 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,451 |
2,048 |
$4K |
| 87428 |
|
1,095 |
1,010 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,084 |
2,835 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
552 |
507 |
$943.33 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
28 |
$153.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
168 |
137 |
$111.17 |
| 87400 |
|
261 |
129 |
$47.48 |
| 87807 |
|
132 |
124 |
$42.35 |
| 81003 |
|
236 |
216 |
$41.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
37 |
$1.30 |
| A9150 |
Non-prescription drugs |
77 |
60 |
$0.00 |