| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,482 |
1,052 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
852 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
227 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
291 |
257 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
101 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
45 |
44 |
$5K |
| 99000 |
|
213 |
127 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
38 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
201 |
$3K |
| 87808 |
|
174 |
121 |
$3K |
| 81025 |
|
634 |
459 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
41 |
33 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
79 |
$2K |
| 87905 |
|
172 |
119 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
50 |
$2K |
| 81002 |
|
650 |
471 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
63 |
$990.81 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$571.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$543.21 |
| 87807 |
|
15 |
14 |
$140.84 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
104 |
$69.70 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
22 |
21 |
$0.00 |
| 99051 |
|
210 |
109 |
$0.00 |