| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
244 |
203 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
74 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
97 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
203 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
172 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
26 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
17 |
$261.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
13 |
$12.31 |
| 99000 |
|
30 |
30 |
$0.00 |