| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,719 |
5,681 |
$525K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,766 |
6,131 |
$489K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,110 |
2,883 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,445 |
1,443 |
$91K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
746 |
703 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,030 |
936 |
$9K |
| 99058 |
|
124 |
108 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
520 |
515 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
346 |
187 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
19 |
19 |
$2K |
| 81002 |
|
331 |
323 |
$887.22 |
| S9083 |
Global fee urgent care centers |
216 |
192 |
$806.44 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
32 |
$645.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
150 |
134 |
$289.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
78 |
76 |
$73.91 |
| 81025 |
|
12 |
12 |
$71.30 |