| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,191 |
3,192 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
231 |
201 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
217 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
45 |
$722.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
223 |
174 |
$696.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
817 |
628 |
$344.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
190 |
151 |
$335.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$271.38 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
80 |
$103.14 |
| 81002 |
|
27 |
24 |
$43.92 |