| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,083 |
5,913 |
$280K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,171 |
4,405 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,288 |
3,641 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,217 |
3,606 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,586 |
3,910 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
542 |
462 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
318 |
$16K |
| 99215 |
Prolong outpt/office vis |
192 |
175 |
$12K |
| 96127 |
|
2,891 |
2,536 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
440 |
422 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
692 |
578 |
$8K |
| 99205 |
Prolong outpt/office vis |
18 |
16 |
$2K |
| 87807 |
|
93 |
80 |
$648.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
125 |
108 |
$193.95 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$184.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
221 |
195 |
$89.11 |
| 81003 |
|
386 |
337 |
$66.83 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$57.64 |
| 3725F |
|
831 |
764 |
$0.00 |
| 3351F |
|
445 |
408 |
$0.00 |
| 3352F |
|
100 |
99 |
$0.00 |
| 3353F |
|
29 |
29 |
$0.00 |