| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,110 |
1,723 |
$205K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
933 |
933 |
$127K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
403 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
436 |
427 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
93 |
90 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
189 |
$1K |
| 81003 |
|
69 |
66 |
$144.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
77 |
73 |
$43.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
106 |
98 |
$13.41 |