| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
2,962 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,534 |
1,290 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
104 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
191 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
130 |
110 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
452 |
390 |
$5K |
| 87428 |
|
597 |
501 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
372 |
$2K |
| 99051 |
|
382 |
343 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
305 |
261 |
$883.74 |
| 36415 |
Collection of venous blood by venipuncture |
538 |
440 |
$704.52 |
| 81003 |
|
252 |
206 |
$31.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
51 |
$2.36 |
| 99000 |
|
470 |
433 |
$2.03 |
| 3078F |
|
829 |
670 |
$0.00 |
| 3077F |
|
102 |
84 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
26 |
$0.00 |
| 3074F |
|
887 |
713 |
$0.00 |
| 3008F |
|
1,185 |
945 |
$0.00 |
| 3075F |
|
22 |
15 |
$0.00 |
| 3079F |
|
126 |
107 |
$0.00 |
| 3080F |
|
67 |
53 |
$0.00 |