| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,666 |
13,602 |
$1000K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,463 |
4,696 |
$408K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,964 |
3,506 |
$238K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,626 |
4,340 |
$146K |
| S9083 |
Global fee urgent care centers |
1,375 |
1,203 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,530 |
1,384 |
$106K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,503 |
6,048 |
$98K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,432 |
4,531 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,174 |
3,385 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
793 |
679 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
303 |
188 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
127 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,952 |
1,375 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
58 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
151 |
105 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 87807 |
|
329 |
256 |
$2K |
| 87430 |
|
670 |
289 |
$962.08 |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
52 |
$766.80 |
| 0012A |
|
23 |
22 |
$533.72 |
| 81003 |
|
504 |
388 |
$372.03 |
| 0011A |
|
29 |
27 |
$283.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
250 |
213 |
$238.70 |
| 81002 |
|
25 |
25 |
$237.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
595 |
475 |
$162.03 |
| 91301 |
|
39 |
38 |
$111.24 |
| J7510 |
Prednisolone oral, per 5 mg |
38 |
28 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
20 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
115 |
108 |
$0.00 |
| 90686 |
|
14 |
12 |
$0.00 |