| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
697 |
693 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
353 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
361 |
359 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
154 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
716 |
353 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
409 |
403 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
439 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
105 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$18.23 |
| 81003 |
|
18 |
18 |
$17.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$17.09 |