| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,104 |
3,866 |
$218K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,515 |
4,461 |
$202K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,570 |
2,556 |
$142K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,133 |
1,104 |
$130K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,570 |
2,389 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,236 |
3,031 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,142 |
1,061 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,068 |
1,059 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,286 |
1,103 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
289 |
242 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
495 |
486 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
371 |
330 |
$2K |
| 0031A |
|
49 |
49 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
131 |
$1K |
| 81003 |
|
847 |
804 |
$922.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
77 |
$754.50 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
41 |
$703.86 |
| 87807 |
|
65 |
65 |
$515.17 |
| 0011A |
|
159 |
159 |
$333.31 |
| 81025 |
|
108 |
105 |
$295.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$153.27 |
| 0002A |
|
17 |
17 |
$40.00 |
| 91301 |
|
143 |
143 |
$0.00 |