| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,391 |
6,222 |
$224K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,351 |
2,803 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,509 |
1,280 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
986 |
821 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,589 |
2,070 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,353 |
2,565 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
45 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
117 |
$3K |
| 0012A |
|
345 |
163 |
$2K |
| 0011A |
|
347 |
165 |
$2K |
| 0001A |
|
178 |
131 |
$2K |
| 0064A |
|
64 |
55 |
$627.08 |
| 0002A |
|
94 |
81 |
$476.64 |
| 0031A |
|
31 |
15 |
$175.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
41 |
$145.31 |
| 99441 |
|
37 |
28 |
$35.67 |
| 81003 |
|
16 |
12 |
$19.26 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
39 |
14 |
$6.82 |
| 91301 |
|
168 |
127 |
$0.00 |
| 91300 |
|
143 |
106 |
$0.00 |