| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,472 |
4,767 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,929 |
3,105 |
$270K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,095 |
3,781 |
$181K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,395 |
2,207 |
$176K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,049 |
895 |
$118K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,276 |
2,917 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,052 |
1,875 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
166 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
369 |
324 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,201 |
908 |
$5K |
| 81002 |
|
1,891 |
1,673 |
$4K |
| 87807 |
|
60 |
57 |
$463.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
182 |
147 |
$256.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
186 |
157 |
$134.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
37 |
31 |
$60.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$20.15 |