| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,264 |
5,567 |
$341K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,518 |
2,639 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,598 |
4,263 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,354 |
1,302 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
739 |
$34K |
| 87430 |
|
2,241 |
2,119 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
391 |
366 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
216 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
803 |
766 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
424 |
411 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,261 |
1,166 |
$10K |
| 86308 |
|
1,189 |
1,118 |
$6K |
| 86677 |
|
116 |
116 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
38 |
$676.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
375 |
351 |
$605.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
527 |
506 |
$520.43 |
| 81002 |
|
168 |
160 |
$441.66 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
104 |
$129.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
44 |
42 |
$64.81 |
| 99441 |
|
14 |
14 |
$43.99 |
| 82962 |
|
13 |
13 |
$30.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
200 |
175 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,506 |
2,240 |
$0.00 |