| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,254 |
3,219 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
873 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
375 |
192 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
24 |
$347.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
70 |
56 |
$79.21 |
| 3074F |
|
918 |
756 |
$62.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
59 |
$12.06 |
| 1160F |
|
578 |
496 |
$0.00 |
| 3078F |
|
776 |
630 |
$0.00 |
| 1159F |
|
930 |
796 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 3044F |
|
30 |
29 |
$0.00 |
| 3079F |
|
170 |
152 |
$0.00 |
| 1126F |
|
430 |
370 |
$0.00 |
| 1125F |
|
621 |
527 |
$0.00 |
| 90656 |
|
14 |
13 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |