| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,161 |
21,550 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,459 |
9,149 |
$574K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14,823 |
12,523 |
$450K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,825 |
3,423 |
$211K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,010 |
7,368 |
$133K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,624 |
7,833 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
724 |
600 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
128 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,154 |
989 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
59 |
$4K |
| 86328 |
|
135 |
106 |
$4K |
| 87807 |
|
206 |
195 |
$922.24 |
| 81003 |
|
460 |
410 |
$354.53 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,279 |
4,564 |
$311.29 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
35 |
$206.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
494 |
445 |
$205.09 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
31 |
$66.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
37 |
$32.68 |
| 99051 |
|
1,536 |
1,415 |
$16.62 |
| 99000 |
|
651 |
569 |
$0.00 |
| 94760 |
|
148 |
127 |
$0.00 |