| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,166 |
5,381 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,425 |
1,006 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
147 |
$17K |
| 99215 |
Prolong outpt/office vis |
231 |
188 |
$17K |
| 99199 |
Unlisted special service, procedure or report |
3,257 |
3,244 |
$12K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
68 |
63 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
330 |
276 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
113 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
69 |
$4K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 99490 |
Ccm add 20min |
277 |
277 |
$2K |
| 90756 |
|
70 |
70 |
$929.30 |
| 81001 |
|
306 |
264 |
$816.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
44 |
$731.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$373.59 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
116 |
$275.40 |
| 82962 |
|
62 |
58 |
$109.62 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$42.70 |
| 96127 |
|
12 |
12 |
$31.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.96 |