| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,274 |
672 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,937 |
1,336 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
801 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
459 |
414 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
613 |
341 |
$22K |
| 87428 |
|
439 |
167 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
21 |
18 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
258 |
160 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
22 |
$925.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
27 |
$797.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
48 |
$375.90 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
36 |
28 |
$96.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
28 |
$87.43 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$10.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
50 |
42 |
$10.87 |
| 3008F |
|
1,194 |
941 |
$10.00 |
| 99050 |
|
257 |
241 |
$0.00 |