| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,181 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
516 |
471 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
884 |
$30K |
| 99000 |
|
1,030 |
945 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
476 |
471 |
$21K |
| 87428 |
|
304 |
288 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
257 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
224 |
217 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
463 |
419 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
181 |
137 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
59 |
$1K |
| 81002 |
|
266 |
239 |
$691.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
29 |
$36.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$25.71 |