| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,575 |
2,970 |
$140K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
500 |
423 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
256 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
455 |
370 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
199 |
$3K |
| 87428 |
|
48 |
36 |
$2K |
| 90674 |
|
124 |
118 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
28 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,280 |
1,130 |
$1K |
| 90686 |
|
68 |
63 |
$555.51 |
| 81003 |
|
93 |
87 |
$234.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
229 |
202 |
$215.04 |
| 93040 |
|
24 |
24 |
$170.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
64 |
$122.83 |
| 94760 |
|
34 |
30 |
$0.00 |