| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,038 |
11,237 |
$826K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,327 |
9,395 |
$565K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,165 |
6,155 |
$529K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,021 |
5,019 |
$317K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,231 |
5,773 |
$173K |
| 99058 |
|
1,071 |
995 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,830 |
1,923 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,987 |
1,948 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,788 |
1,675 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
219 |
219 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
931 |
846 |
$9K |
| 81002 |
|
2,875 |
2,789 |
$7K |
| 81025 |
|
1,082 |
1,055 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
240 |
237 |
$6K |
| 99441 |
|
189 |
174 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
97 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
505 |
500 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
574 |
527 |
$670.99 |
| 90756 |
|
15 |
15 |
$296.27 |
| 87210 |
|
106 |
105 |
$250.80 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
46 |
44 |
$237.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$105.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$5.73 |
| 99000 |
|
203 |
196 |
$0.00 |
| 99051 |
|
576 |
543 |
$0.00 |