| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,093 |
6,628 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,597 |
2,731 |
$121K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,458 |
3,067 |
$49K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
306 |
154 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,405 |
3,930 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,003 |
742 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,046 |
582 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
875 |
771 |
$16K |
| 99051 |
|
3,275 |
1,900 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
281 |
245 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
328 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
289 |
140 |
$3K |
| 87486 |
|
289 |
140 |
$3K |
| 87581 |
|
289 |
140 |
$3K |
| 87807 |
|
393 |
237 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
15 |
$1K |
| 81003 |
|
559 |
319 |
$370.23 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
173 |
92 |
$313.90 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
243 |
$297.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$191.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
38 |
$189.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$103.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
80 |
53 |
$48.31 |
| 94760 |
|
334 |
242 |
$24.64 |
| S9083 |
Global fee urgent care centers |
44 |
31 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
162 |
131 |
$0.00 |
| 99000 |
|
207 |
100 |
$0.00 |