| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,649 |
5,251 |
$331K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,912 |
2,808 |
$209K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,257 |
2,253 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,018 |
1,016 |
$88K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,476 |
3,315 |
$83K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,069 |
1,066 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,221 |
1,121 |
$55K |
| 86328 |
|
481 |
268 |
$16K |
| 99000 |
|
1,940 |
1,828 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
753 |
566 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,110 |
1,051 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
618 |
604 |
$5K |
| 81025 |
|
325 |
315 |
$2K |
| 81003 |
|
648 |
627 |
$728.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
619 |
601 |
$430.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
133 |
125 |
$131.87 |
| 99072 |
|
501 |
478 |
$19.25 |
| 99051 |
|
67 |
64 |
$0.00 |
| 99058 |
|
18 |
16 |
$0.00 |