| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,248 |
1,117 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
960 |
959 |
$91K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
553 |
530 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
274 |
274 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
364 |
337 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
149 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
227 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
564 |
506 |
$5K |
| 81025 |
|
334 |
323 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
72 |
$904.01 |
| 81003 |
|
138 |
131 |
$202.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
101 |
98 |
$200.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
138 |
134 |
$158.62 |
| 94760 |
|
69 |
66 |
$0.00 |