| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,663 |
2,585 |
$114K |
| 87428 |
|
1,137 |
1,102 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
233 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
669 |
647 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$1K |
| 81025 |
|
220 |
218 |
$899.47 |
| 81002 |
|
254 |
248 |
$459.51 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
29 |
24 |
$416.74 |
| 87210 |
|
45 |
44 |
$126.32 |