| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,775 |
2,292 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,318 |
2,921 |
$92K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,835 |
1,796 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,589 |
2,193 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,563 |
1,262 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
735 |
721 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
190 |
$10K |
| 96127 |
|
2,003 |
1,779 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
90 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
147 |
$2K |
| 87807 |
|
31 |
26 |
$235.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
87 |
68 |
$60.37 |
| 81003 |
|
214 |
188 |
$36.58 |
| 3725F |
|
1,265 |
1,151 |
$0.00 |
| 3351F |
|
1,414 |
1,265 |
$0.00 |