| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
775 |
744 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
536 |
535 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
733 |
712 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
381 |
381 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
868 |
430 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
343 |
336 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
521 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
161 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
229 |
224 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$1K |
| 81002 |
|
237 |
229 |
$878.21 |
| 87807 |
|
31 |
30 |
$403.11 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
21 |
21 |
$122.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
53 |
$114.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$30.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
20 |
$18.60 |
| 99000 |
|
12 |
12 |
$0.00 |