| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,601 |
4,430 |
$414K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,371 |
2,784 |
$164K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,727 |
3,198 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,854 |
1,648 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
1,002 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,925 |
1,882 |
$56K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,524 |
1,394 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,198 |
1,833 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
146 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
943 |
669 |
$11K |
| 87807 |
|
729 |
616 |
$7K |
| 99384 |
|
54 |
54 |
$5K |
| 99383 |
|
52 |
52 |
$4K |
| 81002 |
|
1,537 |
1,324 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
183 |
151 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
93 |
84 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$1K |
| 81025 |
|
253 |
225 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
279 |
215 |
$199.59 |
| 99173 |
|
13 |
13 |
$67.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
50 |
$67.17 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
162 |
$1.92 |