| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,267 |
2,971 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,807 |
3,455 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,329 |
1,259 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,661 |
1,608 |
$76K |
| 99000 |
|
1,986 |
1,822 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,074 |
913 |
$37K |
| 87428 |
|
515 |
487 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,531 |
1,397 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
779 |
614 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
768 |
610 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
63 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
53 |
$2K |
| 81002 |
|
827 |
770 |
$2K |
| 87210 |
|
412 |
392 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
30 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
18 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
69 |
57 |
$372.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
149 |
126 |
$310.28 |
| 81025 |
|
61 |
57 |
$310.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
232 |
193 |
$239.24 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
18 |
14 |
$111.69 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
135 |
$0.00 |