| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,721 |
1,542 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,040 |
1,760 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,179 |
1,894 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,771 |
1,540 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,089 |
1,846 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
395 |
379 |
$11K |
| 96127 |
|
956 |
821 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
44 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
155 |
$959.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
35 |
$770.64 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
41 |
$731.17 |
| 87807 |
|
88 |
75 |
$287.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
67 |
$11.96 |
| 3725F |
|
170 |
164 |
$0.00 |
| 81003 |
|
16 |
12 |
$0.00 |
| 3351F |
|
178 |
172 |
$0.00 |