| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,111 |
2,064 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,187 |
1,520 |
$67K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,205 |
541 |
$13K |
| 81003 |
|
859 |
603 |
$1K |
| 99215 |
Prolong outpt/office vis |
21 |
15 |
$996.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
41 |
$684.44 |
| 3008F |
|
62 |
44 |
$408.05 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
14 |
$324.63 |
| 90674 |
|
22 |
14 |
$205.27 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
52 |
38 |
$148.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
238 |
153 |
$26.66 |
| 1160F |
|
29 |
25 |
$0.00 |