| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,799 |
2,637 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
908 |
908 |
$80K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,172 |
2,039 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,482 |
1,375 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
682 |
680 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,306 |
1,272 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
637 |
319 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
551 |
533 |
$4K |
| S9083 |
Global fee urgent care centers |
75 |
68 |
$3K |
| 99000 |
|
1,984 |
1,903 |
$1K |
| 81002 |
|
82 |
80 |
$192.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
72 |
71 |
$94.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
216 |
215 |
$34.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
20 |
20 |
$0.00 |