| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,830 |
2,327 |
$298K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,015 |
848 |
$162.43 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
480 |
386 |
$100.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
558 |
234 |
$48.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
325 |
$32.00 |
| 90686 |
|
12 |
12 |
$9.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
265 |
213 |
$2.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 1160F |
|
1,247 |
995 |
$0.00 |
| 3078F |
|
481 |
397 |
$0.00 |
| 1159F |
|
703 |
553 |
$0.00 |
| 3725F |
|
42 |
38 |
$0.00 |
| 99173 |
|
20 |
17 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
189 |
155 |
$0.00 |
| 3074F |
|
608 |
503 |
$0.00 |
| 3008F |
|
1,130 |
921 |
$0.00 |
| 1036F |
|
916 |
724 |
$0.00 |
| 1125F |
|
637 |
519 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
389 |
340 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
68 |
$0.00 |
| 1126F |
|
150 |
130 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
21 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 92551 |
|
19 |
16 |
$0.00 |