| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
432 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
185 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
171 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
108 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
419 |
129 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
96 |
81 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
165 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
59 |
$200.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$1.36 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
20 |
16 |
$0.00 |