| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
240 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
175 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
36 |
$876.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
36 |
$628.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
123 |
96 |
$461.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
36 |
$307.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
45 |
$284.36 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
78 |
50 |
$163.92 |