| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,272 |
8,407 |
$421K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
537 |
389 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
764 |
373 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
57 |
41 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
101 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
44 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
212 |
178 |
$319.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
168 |
139 |
$48.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
12 |
$15.40 |
| 3074F |
|
139 |
118 |
$10.00 |
| 3008F |
|
14 |
12 |
$0.00 |
| 2010F |
|
15 |
13 |
$0.00 |
| 3079F |
|
19 |
13 |
$0.00 |
| 1159F |
|
15 |
13 |
$0.00 |