| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,421 |
4,886 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,142 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
136 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
284 |
190 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$107.28 |
| 90686 |
|
12 |
12 |
$66.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$48.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$32.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$4.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$4.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
29 |
$1.24 |