| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,399 |
4,071 |
$711K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,688 |
1,456 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,140 |
2,453 |
$295K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,502 |
1,273 |
$181K |
| 99215 |
Prolong outpt/office vis |
199 |
162 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
275 |
220 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,188 |
893 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
441 |
381 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
90 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
144 |
120 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
196 |
163 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
62 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
309 |
241 |
$2K |
| 98966 |
|
98 |
89 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$1K |
| 81000 |
|
455 |
376 |
$1K |
| 99406 |
|
73 |
57 |
$1K |
| 0031A |
|
14 |
13 |
$984.23 |
| 86580 |
|
123 |
62 |
$722.04 |
| 96127 |
|
143 |
101 |
$557.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
162 |
56 |
$512.44 |
| 99441 |
|
24 |
19 |
$493.00 |
| 0002A |
|
12 |
12 |
$454.80 |
| 0001A |
|
14 |
13 |
$362.42 |
| 90756 |
|
19 |
19 |
$358.48 |
| 81025 |
|
45 |
41 |
$318.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
94 |
$297.89 |
| 0012A |
|
52 |
27 |
$75.71 |
| 0011A |
|
57 |
30 |
$32.42 |