| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,632 |
5,146 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,054 |
4,521 |
$339K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,501 |
3,171 |
$332K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,213 |
3,801 |
$146K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
11,408 |
9,977 |
$140K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,518 |
3,268 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,434 |
1,346 |
$90K |
| 99215 |
Prolong outpt/office vis |
702 |
631 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,320 |
1,243 |
$49K |
| 87634 |
|
188 |
180 |
$13K |
| 99205 |
Prolong outpt/office vis |
106 |
91 |
$11K |
| 81025 |
|
781 |
717 |
$5K |
| 81003 |
|
2,201 |
1,948 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
435 |
224 |
$4K |
| 94010 |
|
13 |
13 |
$301.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
96 |
$236.13 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
86 |
$155.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
90 |
83 |
$140.64 |
| S9999 |
Sales tax |
835 |
734 |
$8.14 |
| 3077F |
|
421 |
343 |
$0.29 |
| 3078F |
|
127 |
106 |
$0.11 |
| 3079F |
|
60 |
54 |
$0.04 |
| 4000F |
|
338 |
296 |
$0.00 |
| 1000F |
|
346 |
302 |
$0.00 |
| 1005F |
|
1,144 |
964 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$0.00 |
| 1034F |
|
690 |
586 |
$0.00 |