| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
614 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
545 |
417 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
161 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$523.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
19 |
$228.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
16 |
$13.90 |
| 3074F |
|
393 |
322 |
$0.00 |
| 1034F |
|
49 |
42 |
$0.00 |
| 3079F |
|
89 |
78 |
$0.00 |
| 3008F |
|
636 |
528 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3078F |
|
328 |
267 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |