| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
788 |
597 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
805 |
637 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
746 |
482 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$601.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
28 |
$516.40 |
| 99384 |
|
13 |
13 |
$308.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
339 |
314 |
$150.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
321 |
292 |
$75.74 |
| 81002 |
|
29 |
27 |
$45.12 |