| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
6,132 |
4,869 |
$334K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,214 |
2,941 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
2,014 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,524 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,019 |
948 |
$111K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,822 |
3,675 |
$76K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
848 |
709 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
217 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
29 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
388 |
334 |
$2K |
| 99442 |
|
33 |
33 |
$818.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105 |
82 |
$553.29 |
| 36415 |
Collection of venous blood by venipuncture |
225 |
177 |
$388.97 |
| 90674 |
|
14 |
12 |
$263.52 |
| 80047 |
|
33 |
26 |
$259.09 |
| 81003 |
|
154 |
125 |
$234.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
116 |
109 |
$115.78 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
91 |
82 |
$0.00 |
| 99000 |
|
28 |
18 |
$0.00 |