| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,927 |
4,868 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,547 |
2,263 |
$148K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,101 |
1,615 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
67 |
$6K |
| 87428 |
|
140 |
132 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
111 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,325 |
1,145 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
541 |
426 |
$565.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
28 |
$440.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
982 |
827 |
$277.45 |
| 90674 |
|
14 |
14 |
$48.10 |
| 3074F |
|
507 |
434 |
$0.00 |
| 3079F |
|
182 |
165 |
$0.00 |
| 3078F |
|
314 |
261 |
$0.00 |