| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,776 |
10,662 |
$714K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,145 |
1,803 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,314 |
3,601 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,307 |
1,149 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,823 |
3,519 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,796 |
2,225 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,161 |
2,629 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,399 |
3,731 |
$37K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
351 |
345 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,234 |
992 |
$36K |
| 99215 |
Prolong outpt/office vis |
138 |
124 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,173 |
986 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,992 |
1,673 |
$813.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
304 |
259 |
$402.20 |
| 81002 |
|
89 |
83 |
$198.36 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
75 |
$150.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$116.63 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
14 |
13 |
$53.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.30 |
| 99000 |
|
110 |
100 |
$0.00 |
| 99072 |
|
151 |
126 |
$0.00 |