| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,824 |
6,830 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,222 |
4,774 |
$333K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,334 |
2,266 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,788 |
1,690 |
$133K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,588 |
3,297 |
$79K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
504 |
486 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,314 |
2,188 |
$21K |
| 99051 |
|
1,878 |
1,801 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,207 |
1,072 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
236 |
206 |
$2K |
| 99406 |
|
276 |
246 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
57 |
$990.54 |
| 73610 |
|
13 |
13 |
$223.08 |
| 81003 |
|
430 |
404 |
$154.07 |
| 99072 |
|
2,135 |
1,981 |
$34.65 |
| 94760 |
|
325 |
294 |
$34.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$20.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$13.33 |
| 81002 |
|
12 |
12 |
$0.11 |
| 3075F |
|
215 |
187 |
$0.00 |
| 3074F |
|
1,799 |
1,643 |
$0.00 |
| 3079F |
|
498 |
449 |
$0.00 |
| 3080F |
|
170 |
155 |
$0.00 |
| 99000 |
|
27 |
26 |
$0.00 |
| 3078F |
|
1,132 |
1,041 |
$0.00 |
| 99001 |
|
466 |
452 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |