| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,921 |
3,149 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
725 |
587 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
815 |
703 |
$13K |
| 87430 |
|
1,870 |
1,404 |
$13K |
| 87276 |
|
940 |
701 |
$6K |
| 87275 |
|
927 |
690 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
307 |
245 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
96 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
167 |
$1K |
| 87420 |
|
17 |
15 |
$117.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
130 |
110 |
$29.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
16 |
$23.46 |