| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,391 |
5,549 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,472 |
2,716 |
$106K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,349 |
1,207 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,150 |
960 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,288 |
1,136 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
158 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
144 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
154 |
114 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
85 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
24 |
$2K |
| 87807 |
|
143 |
126 |
$2K |
| 81002 |
|
157 |
139 |
$435.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
46 |
$222.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$203.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
26 |
$0.00 |