| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,756 |
6,124 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,497 |
1,928 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,030 |
2,497 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,306 |
1,176 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,463 |
6,796 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,661 |
3,014 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,016 |
2,259 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,649 |
1,362 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,181 |
505 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
779 |
692 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
273 |
257 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
230 |
$5K |
| 87428 |
|
180 |
162 |
$4K |
| 99051 |
|
81 |
70 |
$2K |
| 87807 |
|
347 |
231 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,099 |
1,516 |
$1K |
| 87631 |
|
12 |
12 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,458 |
1,089 |
$952.66 |
| 87634 |
|
19 |
18 |
$852.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
30 |
$712.19 |
| 90756 |
|
30 |
26 |
$354.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,660 |
1,298 |
$284.71 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
105 |
97 |
$258.17 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
13 |
$237.38 |
| 81003 |
|
275 |
231 |
$232.57 |
| 84703 |
|
65 |
52 |
$230.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
13 |
$221.78 |
| 80053 |
Comprehensive metabolic panel |
59 |
51 |
$197.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
30 |
$132.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
32 |
$28.48 |
| 36416 |
|
3,191 |
2,199 |
$28.00 |
| 94760 |
|
180 |
120 |
$5.58 |