| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,718 |
1,471 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,172 |
1,011 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
242 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
766 |
649 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
224 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
249 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
190 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
442 |
395 |
$638.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
414 |
368 |
$160.09 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
54 |
$67.20 |
| 81003 |
|
12 |
12 |
$27.00 |