| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,333 |
5,670 |
$277K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,040 |
5,468 |
$165K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,805 |
5,339 |
$121K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,641 |
5,105 |
$96K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,198 |
5,602 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
819 |
727 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
787 |
696 |
$38K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
685 |
657 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
742 |
695 |
$9K |
| 96127 |
|
2,598 |
2,354 |
$9K |
| 87807 |
|
149 |
130 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
325 |
306 |
$257.91 |
| 81003 |
|
370 |
332 |
$63.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
25 |
$51.54 |
| 3725F |
|
13 |
13 |
$0.00 |
| 3351F |
|
319 |
297 |
$0.00 |