| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,309 |
9,361 |
$746K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,450 |
5,264 |
$492K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,646 |
4,349 |
$242K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,435 |
3,298 |
$210K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,697 |
6,131 |
$183K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,613 |
3,619 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,566 |
3,412 |
$44K |
| 87428 |
|
904 |
889 |
$44K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
268 |
263 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,383 |
1,333 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
91 |
91 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
399 |
391 |
$6K |
| 81002 |
|
1,472 |
1,410 |
$4K |
| 73630 |
|
197 |
191 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
95 |
$3K |
| 81025 |
|
294 |
288 |
$2K |
| 99000 |
|
539 |
531 |
$1K |
| 87807 |
|
157 |
153 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
557 |
538 |
$989.43 |
| 87430 |
|
70 |
69 |
$737.76 |
| 73130 |
|
43 |
43 |
$714.63 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
108 |
106 |
$516.57 |
| 73610 |
|
26 |
26 |
$461.21 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$424.90 |
| 87070 |
|
110 |
75 |
$228.48 |
| 73120 |
|
16 |
16 |
$189.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
40 |
$36.78 |
| 99051 |
|
975 |
942 |
$0.00 |
| 99058 |
|
36 |
31 |
$0.00 |