| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,728 |
5,217 |
$318K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
348 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
618 |
420 |
$4K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
103 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
288 |
265 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
716 |
679 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
233 |
136 |
$2K |
| 82962 |
|
801 |
756 |
$909.17 |
| 86710 |
|
26 |
13 |
$370.62 |
| 90674 |
|
53 |
50 |
$361.37 |
| 36415 |
Collection of venous blood by venipuncture |
102 |
98 |
$129.84 |
| 80305 |
|
28 |
25 |
$127.11 |
| 81002 |
|
33 |
32 |
$47.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
25 |
$20.98 |
| 96127 |
|
16 |
15 |
$19.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$3.76 |
| G0008 |
Administration of influenza virus vaccine |
35 |
34 |
$0.00 |