| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
559 |
556 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
397 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
80 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
112 |
106 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
106 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
81 |
$751.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
28 |
$411.30 |
| 99000 |
|
29 |
27 |
$44.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$16.50 |