| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,297 |
14,592 |
$498K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,513 |
8,272 |
$349K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,214 |
2,665 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
675 |
307 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
445 |
376 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
439 |
320 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,131 |
1,639 |
$1K |
| 86318 |
|
64 |
62 |
$824.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
26 |
$652.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
81 |
60 |
$283.84 |
| 81003 |
|
31 |
26 |
$8.92 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$5.62 |
| 4004F |
|
3,402 |
2,839 |
$0.00 |
| 3078F |
|
197 |
177 |
$0.00 |
| 3008F |
|
13,862 |
11,671 |
$0.00 |
| 3074F |
|
2,679 |
2,301 |
$0.00 |
| 1036F |
|
9,180 |
7,584 |
$0.00 |
| 3079F |
|
2,116 |
1,839 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |