| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,486 |
1,685 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
695 |
517 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
211 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
175 |
159 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,805 |
1,267 |
$873.00 |
| 87428 |
|
148 |
124 |
$113.08 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
14 |
$37.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
156 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
731 |
500 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
82 |
$0.00 |
| 3008F |
|
37 |
31 |
$0.00 |
| 87280 |
|
21 |
16 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$0.00 |