| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,017 |
3,436 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,576 |
1,358 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,388 |
2,388 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,787 |
1,602 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
740 |
700 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
410 |
377 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,581 |
2,987 |
$24K |
| 87430 |
|
1,964 |
1,739 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,150 |
1,784 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
672 |
559 |
$9K |
| 99215 |
Prolong outpt/office vis |
124 |
106 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
212 |
201 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
41 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
89 |
$4K |
| 70210 |
|
198 |
166 |
$3K |
| 84703 |
|
242 |
207 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
644 |
534 |
$996.53 |
| 86308 |
|
179 |
155 |
$875.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
912 |
781 |
$755.51 |
| 36415 |
Collection of venous blood by venipuncture |
533 |
427 |
$636.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$509.00 |
| 82962 |
|
263 |
222 |
$481.64 |
| 81002 |
|
214 |
178 |
$437.35 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
30 |
27 |
$257.65 |
| 81000 |
|
18 |
15 |
$59.23 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
80 |
68 |
$0.00 |
| 3079F |
|
1,600 |
1,420 |
$0.00 |
| 3074F |
|
4,913 |
4,315 |
$0.00 |
| 3075F |
|
30 |
26 |
$0.00 |
| 3078F |
|
3,254 |
2,865 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
171 |
129 |
$0.00 |