| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,948 |
5,514 |
$320K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
3,164 |
$243K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,224 |
3,217 |
$212K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,250 |
2,239 |
$211K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,102 |
4,904 |
$160K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,537 |
1,260 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,314 |
1,300 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,533 |
1,486 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
317 |
317 |
$14K |
| 99000 |
|
1,843 |
1,768 |
$8K |
| 81025 |
|
748 |
718 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
92 |
$4K |
| 81003 |
|
1,076 |
1,041 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
927 |
908 |
$906.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
734 |
715 |
$758.27 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$236.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$11.16 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
38 |
37 |
$4.16 |