| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,577 |
13,645 |
$869K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,902 |
5,113 |
$442K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,793 |
1,461 |
$161K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,949 |
5,198 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,308 |
2,773 |
$134K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,011 |
903 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,512 |
2,644 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,950 |
2,988 |
$29K |
| 87428 |
|
948 |
694 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,514 |
2,898 |
$13K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,363 |
1,068 |
$861.95 |
| 81003 |
|
681 |
530 |
$861.66 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
25 |
$472.86 |
| 87807 |
|
29 |
17 |
$146.72 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
307 |
234 |
$43.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |