| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,909 |
31,246 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,224 |
19,542 |
$875K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,477 |
14,972 |
$521K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27,526 |
11,963 |
$224K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,273 |
2,898 |
$224K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,726 |
3,808 |
$220K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,860 |
13,680 |
$109K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,648 |
5,322 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
245 |
$9K |
| 81003 |
|
4,621 |
3,926 |
$6K |
| 81025 |
|
1,367 |
1,188 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,264 |
2,678 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
57 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,180 |
982 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
439 |
330 |
$809.55 |
| 87807 |
|
255 |
202 |
$733.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
566 |
480 |
$644.65 |
| 93000 |
|
56 |
53 |
$580.12 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$497.00 |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$378.49 |
| 87428 |
|
19 |
19 |
$351.45 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,764 |
4,549 |
$337.76 |
| 82962 |
|
91 |
77 |
$121.51 |
| 96127 |
|
17 |
17 |
$92.40 |
| 86308 |
|
13 |
13 |
$64.35 |
| 36416 |
|
75 |
64 |
$63.87 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
16 |
13 |
$0.96 |
| 99051 |
|
3,876 |
2,938 |
$0.00 |
| 99000 |
|
328 |
297 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
94 |
85 |
$0.00 |