| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,670 |
4,344 |
$268K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,026 |
1,580 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,254 |
2,733 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
539 |
464 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,879 |
1,047 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,137 |
887 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,858 |
1,413 |
$11K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
7,407 |
5,696 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
152 |
130 |
$5K |
| 87428 |
|
41 |
40 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
584 |
451 |
$372.72 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
12 |
$343.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
179 |
142 |
$279.91 |
| 94760 |
|
96 |
46 |
$35.43 |
| 99051 |
|
880 |
662 |
$25.28 |