| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,970 |
1,093 |
$133K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
701 |
627 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
349 |
316 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
225 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
80 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
37 |
$392.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$198.89 |
| 81003 |
|
42 |
38 |
$81.18 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
55 |
$64.28 |
| A4772 |
Blood glucose test strips, for dialysis, per 50 |
35 |
18 |
$58.97 |
| S9999 |
Sales tax |
46 |
38 |
$6.86 |