| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,253 |
3,304 |
$115K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,079 |
905 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,035 |
740 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,407 |
580 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
133 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
788 |
675 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,495 |
954 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
99 |
$2K |
| 86308 |
|
397 |
350 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
475 |
331 |
$94.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
418 |
282 |
$73.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
100 |
68 |
$64.05 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,210 |
993 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
27 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
229 |
188 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
696 |
586 |
$0.00 |