| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
59 |
38 |
$13K |
| 0001A |
|
281 |
281 |
$10K |
| 0002A |
|
241 |
241 |
$10K |
| 0003A |
|
214 |
214 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
193 |
178 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
562 |
556 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
180 |
$8K |
| 86780 |
|
439 |
427 |
$6K |
| 87535 |
|
326 |
321 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
180 |
$3K |
| 86702 |
|
327 |
322 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
100 |
$1K |
| 86593 |
|
422 |
413 |
$1K |
| 86701 |
|
327 |
322 |
$1K |
| 86592 |
|
370 |
364 |
$865.75 |
| 0250 |
|
71 |
67 |
$281.36 |
| 36415 |
Collection of venous blood by venipuncture |
593 |
583 |
$51.64 |