| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,092 |
17,510 |
$1.17M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,442 |
2,633 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,845 |
5,221 |
$242K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,048 |
2,936 |
$184K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,479 |
8,059 |
$157K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,693 |
5,770 |
$143K |
| 99051 |
|
13,386 |
10,968 |
$132K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,271 |
8,156 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,897 |
3,178 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
397 |
325 |
$9K |
| 99215 |
Prolong outpt/office vis |
91 |
81 |
$6K |
| 99205 |
Prolong outpt/office vis |
19 |
18 |
$2K |
| 81003 |
|
926 |
792 |
$1K |
| 86756 |
|
322 |
256 |
$965.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
25 |
$803.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
35 |
$759.54 |
| 81025 |
|
162 |
114 |
$662.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,000 |
1,636 |
$629.83 |
| 36415 |
Collection of venous blood by venipuncture |
418 |
353 |
$535.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
424 |
333 |
$338.56 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
16 |
$256.51 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
82 |
66 |
$185.10 |
| 94760 |
|
193 |
156 |
$28.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
23 |
16 |
$25.92 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
15 |
12 |
$7.68 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
9,790 |
7,884 |
$0.74 |
| 3074F |
|
592 |
519 |
$0.00 |
| 3079F |
|
36 |
33 |
$0.00 |
| 3078F |
|
291 |
256 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |