| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,400 |
914 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
337 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
114 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
93 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
17 |
$95.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
36 |
$68.12 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$50.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
14 |
$33.06 |
| 81025 |
|
20 |
14 |
$25.83 |
| 81002 |
|
22 |
15 |
$13.92 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
51 |
32 |
$1.26 |
| H0033 |
Oral medication administration, direct observation |
30 |
21 |
$0.00 |