| Code | Description | Claims | Beneficiaries | Total Paid |
| 99058 |
|
14,172 |
13,132 |
$850K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,977 |
15,922 |
$551K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,525 |
5,519 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,528 |
2,479 |
$96K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
669 |
652 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
627 |
624 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
329 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,575 |
1,552 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
791 |
724 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
458 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,301 |
1,256 |
$7K |
| 81002 |
|
855 |
834 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
331 |
327 |
$1K |
| 99000 |
|
179 |
178 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
44 |
$884.88 |
| 87807 |
|
63 |
62 |
$499.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
470 |
467 |
$264.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
61 |
$221.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
210 |
204 |
$143.13 |
| 81003 |
|
103 |
101 |
$77.43 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
12,700 |
11,947 |
$0.00 |
| 99072 |
|
29 |
27 |
$0.00 |