| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,444 |
11,591 |
$662K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,165 |
1,055 |
$89K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,884 |
3,023 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,855 |
2,443 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,705 |
3,260 |
$37K |
| 87428 |
|
1,367 |
1,248 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,286 |
3,505 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
352 |
284 |
$11K |
| 99215 |
Prolong outpt/office vis |
177 |
147 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
255 |
227 |
$4K |
| 81003 |
|
793 |
627 |
$1K |
| 85027 |
|
361 |
317 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
141 |
127 |
$1K |
| 86308 |
|
317 |
243 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
943 |
792 |
$971.11 |
| 99233 |
Prolong inpt eval add15 m |
295 |
79 |
$815.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
973 |
858 |
$798.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$517.10 |
| 87807 |
|
44 |
42 |
$341.99 |
| 36415 |
Collection of venous blood by venipuncture |
202 |
186 |
$240.00 |
| 81000 |
|
39 |
32 |
$108.00 |
| 82947 |
|
30 |
14 |
$40.00 |
| 99051 |
|
334 |
277 |
$35.08 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$10.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
13 |
$5.64 |
| 86318 |
|
17 |
12 |
$0.00 |
| 3008F |
|
1,877 |
1,602 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
292 |
61 |
$0.00 |