| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,787 |
1,415 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
279 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
940 |
795 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
99 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
121 |
115 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
44 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
307 |
262 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
21 |
15 |
$806.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
16 |
$786.50 |
| 93000 |
|
12 |
12 |
$261.48 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$210.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
728 |
623 |
$112.33 |
| J0290 |
Injection, ampicillin sodium, 500 mg |
108 |
91 |
$85.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$21.55 |
| 81003 |
|
52 |
49 |
$15.75 |
| T1015 |
Clinic visit/encounter, all-inclusive |
98 |
93 |
$0.00 |