| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,508 |
11,520 |
$640K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,634 |
4,870 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,588 |
1,397 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,441 |
3,003 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,217 |
1,672 |
$39K |
| 87428 |
|
324 |
259 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,237 |
540 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
193 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
387 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
90 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
345 |
276 |
$4K |
| 81025 |
|
328 |
295 |
$2K |
| 81002 |
|
710 |
554 |
$1K |
| 81003 |
|
563 |
526 |
$959.41 |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
70 |
$921.17 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$459.08 |
| 87807 |
|
19 |
15 |
$223.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$12.90 |
| 99000 |
|
7,361 |
6,259 |
$0.00 |
| 99072 |
|
668 |
622 |
$0.00 |