| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
120 |
$304.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
91 |
$270.66 |
| 81003 |
|
33 |
26 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
342 |
251 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
37 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
27 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
25 |
$0.00 |