| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,839 |
6,923 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,842 |
4,104 |
$532K |
| 99215 |
Prolong outpt/office vis |
1,080 |
745 |
$160K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,546 |
1,961 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,942 |
2,022 |
$67K |
| 87807 |
|
1,902 |
1,536 |
$21K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
55 |
48 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
45 |
$9K |
| 0001A |
|
172 |
161 |
$7K |
| 0002A |
|
165 |
142 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
425 |
329 |
$5K |
| 81001 |
|
1,849 |
1,171 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$4K |
| 92567 |
|
125 |
97 |
$3K |
| 0003A |
|
50 |
46 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
64 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
464 |
281 |
$2K |
| 99490 |
Ccm add 20min |
155 |
155 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
29 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22 |
18 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
451 |
300 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
735 |
338 |
$871.86 |
| 36415 |
Collection of venous blood by venipuncture |
661 |
418 |
$660.75 |
| 82962 |
|
156 |
97 |
$269.89 |
| 85018 |
|
69 |
42 |
$118.58 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
928 |
747 |
$46.92 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
37 |
32 |
$19.30 |
| 85651 |
|
17 |
13 |
$4.27 |
| Q0222 |
Injection, bebtelovimab, 175 mg |
59 |
51 |
$0.00 |