| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,708 |
1,628 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
642 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
296 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
244 |
$12K |
| 87428 |
|
111 |
105 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
354 |
347 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
149 |
142 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
84 |
$1K |
| J7510 |
Prednisolone oral, per 5 mg |
98 |
94 |
$150.49 |
| A9150 |
Non-prescription drugs |
15 |
15 |
$114.75 |
| 81003 |
|
26 |
25 |
$38.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
16 |
$24.60 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
24 |
24 |
$10.40 |