| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,656 |
5,370 |
$216K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
204 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
125 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 87428 |
|
15 |
15 |
$872.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$794.12 |
| 81003 |
|
69 |
67 |
$160.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
12 |
$51.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$17.93 |