| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,205 |
6,812 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,887 |
2,712 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
218 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
262 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
818 |
807 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
406 |
397 |
$5K |
| 81025 |
|
510 |
502 |
$2K |
| 81002 |
|
579 |
571 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
55 |
$922.02 |
| 81000 |
|
38 |
38 |
$163.23 |
| 3077F |
|
27 |
27 |
$0.00 |
| 3078F |
|
183 |
168 |
$0.00 |
| 3061F |
|
65 |
59 |
$0.00 |
| 3079F |
|
111 |
108 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |