| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,328 |
5,881 |
$578K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,728 |
6,055 |
$371K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,681 |
2,563 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,902 |
6,464 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,111 |
2,026 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
683 |
645 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
381 |
$25K |
| 90686 |
|
1,910 |
1,887 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
577 |
553 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
70 |
$10K |
| 92551 |
|
1,876 |
1,793 |
$7K |
| 99173 |
|
1,873 |
1,787 |
$7K |
| 81002 |
|
2,589 |
2,427 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
68 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
235 |
233 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
76 |
$3K |
| 90674 |
|
136 |
135 |
$2K |
| 90672 |
|
165 |
162 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
131 |
131 |
$1K |
| 90651 |
|
201 |
194 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
137 |
$1K |
| 90734 |
|
154 |
152 |
$1K |
| 82962 |
|
423 |
396 |
$1K |
| 90656 |
|
98 |
98 |
$1K |
| 90715 |
|
55 |
55 |
$530.52 |
| 90633 |
|
31 |
31 |
$248.00 |
| 81025 |
|
64 |
61 |
$183.00 |
| 90660 |
|
17 |
17 |
$136.00 |
| 90619 |
|
15 |
14 |
$104.00 |
| 90685 |
|
12 |
12 |
$96.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$23.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
98 |
96 |
$13.17 |