| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
313 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
372 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
472 |
296 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
23 |
$862.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
178 |
138 |
$66.55 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
16 |
$32.91 |