| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,842 |
1,319 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
124 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
515 |
347 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
424 |
146 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
135 |
110 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
148 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
190 |
121 |
$214.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
26 |
$19.92 |