| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,167 |
3,973 |
$292K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,872 |
4,623 |
$257K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,147 |
2,145 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,980 |
2,969 |
$188K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,771 |
2,581 |
$75K |
| 99058 |
|
378 |
341 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
639 |
618 |
$20K |
| 99000 |
|
4,011 |
3,786 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,163 |
1,146 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,010 |
514 |
$12K |
| 87428 |
|
533 |
524 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
374 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
159 |
156 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
33 |
$2K |
| 81002 |
|
702 |
681 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
47 |
$1K |
| 81025 |
|
105 |
101 |
$519.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$115.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
59 |
$88.73 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$60.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$11.41 |
| 99051 |
|
189 |
184 |
$0.00 |