| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,044 |
7,855 |
$707K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,153 |
4,220 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,057 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
167 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
415 |
392 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
912 |
886 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
173 |
$148.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$82.80 |
| 81003 |
|
331 |
322 |
$69.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
45 |
$59.30 |
| 84704 |
|
31 |
30 |
$55.52 |
| 81001 |
|
204 |
188 |
$54.58 |
| 93000 |
|
13 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$0.00 |
| 86328 |
|
132 |
81 |
$0.00 |