| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,106 |
612 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,676 |
1,206 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,557 |
1,304 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
740 |
508 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,398 |
706 |
$49K |
| 99000 |
|
1,476 |
1,168 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
248 |
184 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
200 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
47 |
$1K |
| 81002 |
|
274 |
213 |
$694.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
96 |
81 |
$234.49 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
19 |
12 |
$110.01 |
| 99051 |
|
117 |
112 |
$0.00 |