| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,139 |
1,687 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
425 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
349 |
263 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
53 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$423.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$405.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
175 |
152 |
$270.02 |
| 96127 |
|
52 |
44 |
$153.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
243 |
207 |
$81.88 |
| 92551 |
|
13 |
13 |
$80.73 |
| 99173 |
|
13 |
13 |
$76.03 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$32.22 |