| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,366 |
11,283 |
$568K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,591 |
3,520 |
$274K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,660 |
4,483 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,848 |
1,853 |
$37K |
| 80305 |
|
3,235 |
2,813 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,092 |
1,998 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
94 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
55 |
$2K |
| 0011A |
|
51 |
51 |
$1K |
| 0012A |
|
37 |
37 |
$945.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$622.93 |
| 87807 |
|
56 |
55 |
$619.32 |
| 0031A |
|
18 |
18 |
$616.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$283.40 |
| 86328 |
|
43 |
43 |
$234.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$19.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
26 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |