| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,557 |
13,087 |
$1.15M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,625 |
2,549 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,961 |
1,884 |
$141K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,774 |
3,444 |
$88K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
944 |
850 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,429 |
2,627 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,789 |
2,666 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
161 |
$12K |
| 87400 |
|
1,392 |
666 |
$6K |
| 87428 |
|
163 |
155 |
$4K |
| 99000 |
|
342 |
330 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
290 |
274 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
20 |
20 |
$804.70 |
| 87420 |
|
102 |
98 |
$471.23 |
| 87807 |
|
69 |
68 |
$440.00 |
| 81003 |
|
175 |
166 |
$128.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
97 |
92 |
$30.30 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
25 |
24 |
$1.75 |
| 99070 |
|
55 |
28 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
19 |
19 |
$0.00 |
| 97760 |
|
40 |
40 |
$0.00 |