| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
241 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
354 |
160 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
181 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
30 |
$970.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
253 |
221 |
$867.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
16 |
$688.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$626.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
35 |
$330.01 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
22 |
22 |
$258.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$43.57 |
| 99051 |
|
33 |
33 |
$12.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
33 |
$6.92 |
| 36416 |
|
101 |
85 |
$0.00 |