| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,066 |
716 |
$37K |
| S9083 |
Global fee urgent care centers |
162 |
151 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
250 |
161 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
242 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
96 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
73 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
355 |
253 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
113 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
128 |
26 |
$580.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
31 |
$241.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
246 |
161 |
$162.00 |
| 87430 |
|
25 |
19 |
$73.50 |
| 81003 |
|
15 |
14 |
$21.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
26 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,066 |
533 |
$0.00 |