| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,230 |
8,415 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,249 |
11,890 |
$442K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,887 |
7,273 |
$392K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,622 |
5,028 |
$377K |
| S9083 |
Global fee urgent care centers |
2,229 |
1,927 |
$202K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,978 |
9,441 |
$137K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,553 |
6,114 |
$106K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,743 |
7,899 |
$68K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,956 |
2,321 |
$22K |
| 99051 |
|
19,167 |
14,533 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
331 |
259 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
181 |
102 |
$3K |
| 81003 |
|
1,210 |
831 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,890 |
1,518 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
632 |
517 |
$776.68 |
| 87807 |
|
21 |
19 |
$209.00 |
| 81025 |
|
57 |
27 |
$65.20 |
| 3074F |
|
18 |
17 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
960 |
767 |
$0.00 |
| 3078F |
|
16 |
15 |
$0.00 |
| 86756 |
|
178 |
114 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |