| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,891 |
14,006 |
$392K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,376 |
6,058 |
$293K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,496 |
4,533 |
$183K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,952 |
2,367 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,540 |
3,732 |
$161K |
| 87428 |
|
618 |
570 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,580 |
4,816 |
$54K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,364 |
1,987 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,383 |
2,037 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
101 |
$2K |
| 87807 |
|
194 |
147 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
32 |
$982.80 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,145 |
1,101 |
$278.00 |
| 87400 |
|
46 |
22 |
$275.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
14 |
$197.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
55 |
$170.13 |
| 81003 |
|
106 |
99 |
$63.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$45.20 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
23 |
18 |
$35.20 |
| 99000 |
|
12 |
12 |
$0.09 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
481 |
454 |
$0.00 |
| 2001F |
|
701 |
669 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39 |
38 |
$0.00 |
| 99070 |
|
108 |
100 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 1125F |
|
57 |
56 |
$0.00 |
| 99406 |
|
21 |
12 |
$0.00 |
| 99072 |
|
137 |
101 |
$0.00 |
| 1159F |
|
301 |
289 |
$0.00 |
| 4124F |
|
66 |
66 |
$0.00 |
| 1160F |
|
147 |
144 |
$0.00 |
| 3210F |
|
201 |
199 |
$0.00 |