| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,724 |
4,447 |
$174K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,121 |
2,984 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,439 |
2,650 |
$147K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,671 |
2,176 |
$141K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,244 |
672 |
$106K |
| 0240U |
|
396 |
291 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,066 |
906 |
$34K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,933 |
1,354 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,367 |
809 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,747 |
753 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,229 |
926 |
$12K |
| 99497 |
|
188 |
161 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
74 |
$7K |
| 96160 |
|
454 |
396 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
106 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
13 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$2K |
| 92552 |
|
117 |
104 |
$2K |
| 87631 |
|
15 |
15 |
$2K |
| 96127 |
|
458 |
397 |
$2K |
| 93000 |
|
93 |
72 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
138 |
109 |
$876.25 |
| 81003 |
|
508 |
431 |
$817.69 |
| 82962 |
|
338 |
248 |
$720.81 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
26 |
$443.09 |
| 81025 |
|
80 |
77 |
$422.53 |
| 99173 |
|
56 |
48 |
$332.55 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
145 |
$297.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
80 |
72 |
$106.21 |
| 99406 |
|
14 |
12 |
$103.95 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$89.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
179 |
148 |
$69.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
19 |
$27.32 |
| 2000F |
|
334 |
284 |
$0.02 |
| 3074F |
|
180 |
151 |
$0.02 |
| 3008F |
|
8,388 |
6,582 |
$0.02 |
| 4050F |
|
280 |
238 |
$0.02 |
| 3078F |
|
32 |
26 |
$0.02 |
| 4145F |
|
33 |
26 |
$0.02 |
| 3079F |
|
72 |
58 |
$0.00 |
| 1158F |
|
17 |
13 |
$0.00 |
| 1124F |
|
103 |
89 |
$0.00 |
| 3077F |
|
21 |
15 |
$0.00 |