| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
102 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
134 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
356 |
210 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
623 |
212 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
67 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
93 |
$756.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
206 |
81 |
$370.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
13 |
$4.00 |