| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,851 |
6,540 |
$506K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,615 |
4,030 |
$211K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,129 |
8,076 |
$154K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,478 |
1,296 |
$153K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,977 |
3,911 |
$94K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,513 |
4,067 |
$89K |
| 87807 |
|
5,619 |
4,781 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
611 |
527 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,256 |
3,682 |
$41K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,533 |
1,394 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
149 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
67 |
$1K |
| 81002 |
|
359 |
327 |
$875.22 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
65 |
57 |
$475.20 |
| 74018 |
|
12 |
12 |
$209.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$44.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
92 |
$33.73 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
50 |
45 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
37 |
32 |
$0.00 |
| 3008F |
|
1,537 |
1,437 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
33 |
33 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
13 |
$0.00 |