| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
643 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
450 |
419 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
131 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
630 |
291 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
232 |
217 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
488 |
449 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
113 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
103 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
140 |
$353.42 |
| 81002 |
|
12 |
12 |
$22.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
25 |
$10.92 |