| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
738 |
703 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
237 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
62 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
51 |
$141.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
201 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
375 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
336 |
331 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
21 |
$0.00 |
| 87807 |
|
106 |
102 |
$0.00 |