| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,849 |
11,294 |
$739K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,254 |
14,344 |
$722K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,300 |
2,534 |
$331K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,159 |
976 |
$65K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
848 |
633 |
$61K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,482 |
1,180 |
$60K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,923 |
1,492 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,292 |
962 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,649 |
2,331 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
571 |
425 |
$6K |
| 3074F |
|
6,974 |
6,048 |
$815.75 |
| 3078F |
|
5,825 |
5,085 |
$593.90 |
| 81002 |
|
204 |
187 |
$370.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
384 |
307 |
$358.68 |
| 81003 |
|
47 |
38 |
$85.42 |
| 3079F |
|
1,342 |
1,175 |
$75.00 |
| 3075F |
|
574 |
493 |
$25.00 |
| 4010F |
|
113 |
92 |
$25.00 |
| 3080F |
|
105 |
87 |
$0.00 |
| 3077F |
|
399 |
340 |
$0.00 |