| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
851 |
671 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
685 |
529 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,138 |
834 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
61 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
79 |
$5K |
| H0033 |
Oral medication administration, direct observation |
339 |
246 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
66 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
43 |
$887.36 |
| 87807 |
|
46 |
39 |
$406.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
14 |
$103.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
33 |
$5.72 |
| A9150 |
Non-prescription drugs |
82 |
64 |
$0.86 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
34 |
29 |
$0.30 |