| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
603 |
487 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
77 |
$1K |
| 87428 |
|
19 |
18 |
$874.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
53 |
$802.64 |
| 85027 |
|
319 |
292 |
$786.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
23 |
$290.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$12.48 |
| 99072 |
|
458 |
388 |
$0.00 |
| 99051 |
|
98 |
88 |
$0.00 |
| 36416 |
|
248 |
223 |
$0.00 |