| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,126 |
5,192 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,552 |
1,311 |
$100K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
50 |
31 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
746 |
619 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
341 |
292 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
75 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
49 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
15 |
$1K |
| 81002 |
|
356 |
311 |
$915.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
41 |
$431.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
19 |
$283.08 |
| 81025 |
|
15 |
12 |
$77.55 |