| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
661 |
$70K |
| 87428 |
|
250 |
185 |
$16K |
| 87634 |
|
245 |
184 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
211 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
84 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
305 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
88 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
57 |
56 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
15 |
$440.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$156.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$13.12 |