| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,221 |
6,636 |
$599K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,682 |
5,853 |
$494K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,106 |
6,749 |
$230K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,938 |
5,016 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,261 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,201 |
3,425 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,955 |
1,957 |
$67K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,246 |
1,228 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,337 |
5,177 |
$38K |
| S9083 |
Global fee urgent care centers |
92 |
86 |
$9K |
| 94760 |
|
3,561 |
3,187 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
535 |
405 |
$5K |
| 99001 |
|
1,917 |
1,746 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
28 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
78 |
$4K |
| 99385 |
|
35 |
30 |
$3K |
| 81025 |
|
1,200 |
945 |
$2K |
| 81000 |
|
1,528 |
1,226 |
$2K |
| 86580 |
|
777 |
560 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
12 |
$1K |
| 99459 |
|
140 |
75 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
15 |
$1K |
| 96127 |
|
230 |
202 |
$1K |
| 99051 |
|
196 |
177 |
$880.00 |
| 99173 |
|
413 |
357 |
$847.82 |
| 0011A |
|
29 |
25 |
$760.00 |
| 99058 |
|
169 |
148 |
$550.00 |
| 99406 |
|
17 |
14 |
$156.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
141 |
115 |
$82.30 |
| 99000 |
|
1,159 |
946 |
$51.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
12 |
$16.85 |
| 81002 |
|
17 |
12 |
$6.30 |
| 91301 |
|
56 |
50 |
$0.86 |
| 3078F |
|
50 |
44 |
$0.00 |
| 99072 |
|
582 |
536 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
22 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
156 |
147 |
$0.00 |
| 1036F |
|
36 |
34 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
665 |
575 |
$0.00 |
| 3074F |
|
87 |
81 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |