| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,781 |
4,203 |
$240K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,253 |
1,223 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,408 |
1,603 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,504 |
2,361 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
743 |
691 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
278 |
195 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
36 |
$2K |
| 87428 |
|
22 |
22 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$786.72 |
| 87807 |
|
14 |
12 |
$104.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
123 |
98 |
$96.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
30 |
$12.76 |