| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,189 |
13,130 |
$1.04M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,313 |
4,061 |
$360K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,123 |
2,801 |
$209K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,813 |
5,404 |
$160K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,724 |
1,253 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,793 |
2,250 |
$30K |
| 87428 |
|
662 |
628 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,719 |
1,626 |
$11K |
| 87400 |
|
2,050 |
984 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,334 |
1,201 |
$8K |
| 99000 |
|
649 |
558 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
800 |
742 |
$473.44 |
| 81003 |
|
512 |
450 |
$473.21 |
| 87807 |
|
31 |
31 |
$286.00 |
| 0011A |
|
17 |
14 |
$100.00 |
| 97760 |
|
13 |
12 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
15 |
$0.00 |
| 91301 |
|
35 |
29 |
$0.00 |
| 99070 |
|
77 |
35 |
$0.00 |
| 0012A |
|
16 |
13 |
$0.00 |