| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,783 |
4,315 |
$318K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
430 |
395 |
$28K |
| 87428 |
|
811 |
772 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
231 |
$24K |
| 99215 |
Prolong outpt/office vis |
303 |
266 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
755 |
676 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
723 |
624 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
381 |
364 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
823 |
587 |
$7K |
| 87430 |
|
618 |
595 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
641 |
268 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
194 |
180 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
370 |
$4K |
| 99205 |
Prolong outpt/office vis |
36 |
32 |
$4K |
| 99051 |
|
310 |
291 |
$3K |
| 87420 |
|
231 |
228 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
85 |
70 |
$2K |
| 87400 |
|
221 |
107 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
94 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
12 |
$571.75 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
66 |
60 |
$247.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
133 |
112 |
$170.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$47.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
75 |
$28.50 |
| 81003 |
|
14 |
13 |
$16.47 |
| 99000 |
|
560 |
484 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |