| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,097 |
2,129 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,341 |
1,034 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
433 |
252 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
646 |
216 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
72 |
$3K |
| 80305 |
|
236 |
188 |
$2K |
| 99383 |
|
62 |
35 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
104 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
29 |
$316.56 |
| 81003 |
|
154 |
120 |
$265.92 |
| 99384 |
|
22 |
16 |
$155.84 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
23 |
13 |
$17.11 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
70 |
37 |
$2.76 |