| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,818 |
4,598 |
$284K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
996 |
731 |
$66K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
998 |
776 |
$23K |
| 99215 |
Prolong outpt/office vis |
196 |
159 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,117 |
861 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,873 |
985 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
110 |
83 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
46 |
42 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
78 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
125 |
$2K |
| 86328 |
|
76 |
37 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
70 |
$999.55 |
| 86769 |
|
70 |
34 |
$803.91 |
| 99051 |
|
75 |
54 |
$702.00 |
| 36415 |
Collection of venous blood by venipuncture |
635 |
468 |
$578.28 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
126 |
98 |
$410.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
549 |
432 |
$315.32 |
| 99441 |
|
34 |
22 |
$303.63 |
| 36416 |
|
180 |
91 |
$281.19 |
| 81003 |
|
204 |
166 |
$263.37 |
| 99358 |
Prolong nursin fac eval 15m |
19 |
17 |
$185.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
176 |
135 |
$141.41 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
1,890 |
1,019 |
$123.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
124 |
88 |
$122.09 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
182 |
149 |
$81.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$19.17 |
| 99072 |
|
602 |
506 |
$0.00 |