| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,863 |
1,788 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,252 |
1,214 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,107 |
1,107 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
575 |
575 |
$84K |
| 87428 |
|
1,872 |
1,819 |
$72K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,317 |
1,287 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
817 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
794 |
785 |
$12K |
| 87807 |
|
129 |
128 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$813.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$173.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$13.52 |