| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
219 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
103 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
131 |
131 |
$7K |
| 99442 |
|
68 |
61 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$836.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
47 |
45 |
$508.81 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$342.60 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
102 |
$274.29 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$247.32 |
| 81003 |
|
55 |
53 |
$84.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$18.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
31 |
$3.54 |
| 99000 |
|
12 |
12 |
$0.00 |