| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,575 |
1,567 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
770 |
766 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
893 |
810 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,118 |
1,075 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
253 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
427 |
413 |
$3K |
| 94760 |
|
1,089 |
1,009 |
$3K |
| 99205 |
Prolong outpt/office vis |
46 |
46 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
151 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
405 |
395 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
48 |
$732.99 |
| 99000 |
|
452 |
433 |
$494.02 |
| 99401 |
|
1,311 |
1,218 |
$487.88 |
| 99215 |
Prolong outpt/office vis |
21 |
18 |
$402.14 |
| 87400 |
|
126 |
122 |
$338.85 |
| 81003 |
|
341 |
329 |
$307.72 |
| 87807 |
|
85 |
83 |
$238.70 |
| 81025 |
|
164 |
162 |
$225.39 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
280 |
270 |
$211.40 |
| 99051 |
|
159 |
152 |
$119.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$35.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$19.83 |