| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
503 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
106 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
64 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
176 |
134 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
89 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$972.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
55 |
$958.42 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
32 |
$916.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
52 |
43 |
$61.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
28 |
$10.70 |
| 99000 |
|
16 |
14 |
$0.00 |