| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,088 |
15,094 |
$928K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,156 |
10,292 |
$920K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,502 |
10,780 |
$444K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,079 |
6,674 |
$416K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,113 |
5,172 |
$150K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,657 |
2,747 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,324 |
4,189 |
$69K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,436 |
1,112 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,493 |
4,627 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,485 |
793 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
800 |
415 |
$12K |
| 99215 |
Prolong outpt/office vis |
88 |
81 |
$6K |
| 99205 |
Prolong outpt/office vis |
44 |
38 |
$4K |
| 81025 |
|
376 |
367 |
$2K |
| 87428 |
|
187 |
64 |
$2K |
| 0004A |
|
59 |
32 |
$1K |
| 0012A |
|
38 |
32 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
55 |
$866.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
69 |
$833.60 |
| 0071A |
|
26 |
20 |
$760.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
13 |
$600.34 |
| 87807 |
|
64 |
62 |
$577.36 |
| 0072A |
|
48 |
25 |
$520.00 |
| 0064A |
|
66 |
24 |
$200.00 |
| 87400 |
|
107 |
29 |
$164.91 |
| 0011A |
|
19 |
17 |
$152.46 |
| 81003 |
|
1,471 |
1,220 |
$9.25 |
| 91300 |
|
128 |
57 |
$0.00 |
| 91307 |
|
60 |
41 |
$0.00 |
| 91301 |
|
54 |
48 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |