| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,681 |
1,586 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,275 |
1,132 |
$71K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,353 |
1,130 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,539 |
1,215 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
180 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,212 |
1,046 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
650 |
605 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
70 |
$3K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
295 |
260 |
$988.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
722 |
684 |
$288.84 |
| 87807 |
|
12 |
12 |
$151.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
53 |
$65.18 |
| 99072 |
|
151 |
110 |
$0.00 |