| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,820 |
2,123 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
738 |
526 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
490 |
369 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
140 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
584 |
245 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
663 |
393 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
178 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
22 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
310 |
203 |
$313.28 |
| 87807 |
|
21 |
21 |
$220.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
382 |
278 |
$115.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$108.00 |