| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,633 |
33,278 |
$408K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14,964 |
14,599 |
$270K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,252 |
2,242 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,724 |
4,590 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,452 |
3,425 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,331 |
1,311 |
$14K |
| 99051 |
|
11,627 |
11,263 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
597 |
586 |
$4K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
17,576 |
16,945 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
207 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,176 |
2,200 |
$1K |
| 81003 |
|
3,803 |
3,656 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,031 |
1,440 |
$680.81 |
| 71046 |
Radiologic examination, chest; 2 views |
127 |
125 |
$421.00 |
| 99000 |
|
955 |
927 |
$300.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
95 |
88 |
$297.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,972 |
1,914 |
$101.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
206 |
190 |
$92.63 |
| 99441 |
|
66 |
65 |
$75.00 |
| 99201 |
|
17 |
16 |
$74.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
68 |
$31.64 |
| 69210 |
|
29 |
29 |
$21.56 |
| 81025 |
|
526 |
503 |
$12.50 |
| 81002 |
|
12 |
12 |
$2.15 |
| 82962 |
|
54 |
52 |
$1.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
726 |
543 |
$0.12 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
329 |
255 |
$0.02 |
| 36415 |
Collection of venous blood by venipuncture |
238 |
228 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
302 |
232 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
15 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
110 |
87 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
52 |
50 |
$0.00 |
| 93000 |
|
150 |
142 |
$0.00 |
| 94760 |
|
57 |
35 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |
| 73130 |
|
12 |
12 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |
| 73630 |
|
41 |
39 |
$0.00 |