| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,688 |
7,361 |
$670K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,866 |
5,188 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,005 |
3,255 |
$299K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,895 |
1,487 |
$148K |
| 99070 |
|
5,503 |
5,130 |
$109K |
| 71046 |
Radiologic examination, chest; 2 views |
665 |
652 |
$16K |
| 73630 |
|
15 |
15 |
$423.99 |
| 73562 |
|
13 |
13 |
$263.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$65.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$55.84 |
| 86328 |
|
772 |
713 |
$45.23 |
| 81001 |
|
109 |
105 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
33 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
109 |
$0.00 |
| 81002 |
|
496 |
463 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
141 |
133 |
$0.00 |