| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,165 |
4,017 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,111 |
2,969 |
$170K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,099 |
2,092 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
897 |
892 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,326 |
2,209 |
$60K |
| 99215 |
Prolong outpt/office vis |
258 |
255 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,843 |
1,778 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,097 |
1,075 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
236 |
236 |
$11K |
| 99058 |
|
129 |
121 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
629 |
621 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
206 |
196 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
132 |
$5K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 81002 |
|
613 |
598 |
$1K |
| 81003 |
|
448 |
433 |
$796.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
91 |
87 |
$135.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
26 |
$5.31 |