| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,472 |
1,351 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
811 |
807 |
$53K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
638 |
575 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
152 |
$7K |
| 87428 |
|
374 |
367 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
66 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
293 |
282 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
232 |
121 |
$1K |
| 99000 |
|
446 |
424 |
$1K |
| 87807 |
|
172 |
168 |
$857.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$369.63 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
36 |
36 |
$88.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
38 |
37 |
$20.93 |
| 81003 |
|
12 |
12 |
$11.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$10.00 |
| 3074F |
|
16 |
14 |
$0.00 |
| 99051 |
|
103 |
100 |
$0.00 |
| 99072 |
|
45 |
45 |
$0.00 |
| 3078F |
|
16 |
14 |
$0.00 |