| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,899 |
2,872 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,575 |
2,009 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,376 |
1,034 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
817 |
612 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,817 |
1,079 |
$16K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,066 |
1,500 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,793 |
2,833 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
785 |
642 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,018 |
790 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,252 |
1,684 |
$2K |
| 99051 |
|
3,010 |
2,381 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
583 |
407 |
$604.52 |
| 81003 |
|
366 |
272 |
$562.70 |
| 71046 |
Radiologic examination, chest; 2 views |
70 |
43 |
$527.16 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,489 |
1,128 |
$319.04 |
| 87807 |
|
15 |
15 |
$154.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
12 |
$144.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
164 |
137 |
$125.84 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
55 |
$56.00 |