| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,706 |
5,469 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,526 |
3,403 |
$224K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
508 |
$40K |
| 99215 |
Prolong outpt/office vis |
198 |
192 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
251 |
245 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
331 |
325 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
291 |
289 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
722 |
590 |
$6K |
| 95886 |
|
93 |
50 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$5K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
553 |
537 |
$2K |
| 81003 |
|
191 |
187 |
$322.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$238.08 |
| 87807 |
|
15 |
15 |
$165.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
84 |
77 |
$120.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
28 |
$22.31 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
14 |
$0.00 |