| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,591 |
1,472 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
559 |
528 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
384 |
379 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
446 |
427 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$395.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
141 |
140 |
$128.27 |
| 81003 |
|
60 |
57 |
$106.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$24.72 |