| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,727 |
2,480 |
$123K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,617 |
2,339 |
$58K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
706 |
644 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
445 |
411 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
720 |
650 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
594 |
290 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
103 |
101 |
$4K |
| 0031A |
|
58 |
55 |
$603.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$597.38 |
| 82962 |
|
211 |
149 |
$453.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
198 |
192 |
$321.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
234 |
225 |
$231.56 |
| 81003 |
|
28 |
25 |
$39.69 |
| 91303 |
|
56 |
55 |
$0.03 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
47 |
$0.00 |