| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,139 |
4,195 |
$247K |
| 87428 |
|
840 |
740 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
866 |
739 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
329 |
227 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
382 |
144 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
59 |
$487.70 |
| 87807 |
|
29 |
12 |
$22.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
54 |
$18.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$12.85 |
| 3078F |
|
17 |
13 |
$0.00 |
| 1159F |
|
40 |
29 |
$0.00 |
| 1160F |
|
40 |
29 |
$0.00 |