| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,465 |
6,224 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
762 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,287 |
1,451 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
511 |
437 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
688 |
532 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
650 |
502 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
32 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
918 |
666 |
$919.13 |
| 36415 |
Collection of venous blood by venipuncture |
427 |
306 |
$537.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
864 |
678 |
$338.33 |
| 81003 |
|
157 |
114 |
$140.82 |
| 87807 |
|
34 |
24 |
$126.13 |