| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
428 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
477 |
422 |
$37K |
| 80305 |
|
153 |
145 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$887.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
17 |
$865.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
34 |
$778.11 |
| 96127 |
|
142 |
136 |
$483.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$425.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$7.20 |
| 96160 |
|
55 |
55 |
$0.00 |