| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,723 |
2,409 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,467 |
1,369 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,006 |
691 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,341 |
1,013 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,680 |
1,385 |
$14K |
| 87428 |
|
1,448 |
952 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,250 |
547 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
360 |
275 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
249 |
212 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,737 |
2,690 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
520 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
705 |
465 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
50 |
49 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
219 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
25 |
$461.62 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
51 |
$375.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
58 |
53 |
$60.00 |
| 81003 |
|
269 |
180 |
$50.75 |
| 81025 |
|
99 |
71 |
$41.12 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
57 |
$13.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
107 |
76 |
$11.91 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
13 |
$9.39 |
| 36416 |
|
2,519 |
1,806 |
$2.40 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$0.00 |