| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,210 |
1,176 |
$433K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,639 |
5,871 |
$331K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,969 |
2,696 |
$156K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
370 |
370 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
665 |
643 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
218 |
$17K |
| 92551 |
|
1,327 |
1,319 |
$16K |
| 99385 |
|
104 |
103 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
375 |
317 |
$8K |
| 86328 |
|
159 |
157 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
272 |
$7K |
| 99173 |
|
1,308 |
1,300 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$5K |
| 81003 |
|
1,683 |
1,643 |
$3K |
| 93000 |
|
58 |
56 |
$2K |
| 96127 |
|
280 |
278 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
195 |
183 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| 87428 |
|
14 |
13 |
$890.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
115 |
81 |
$705.77 |
| G9920 |
Screening performed and negative |
16 |
16 |
$556.80 |
| 82948 |
|
58 |
56 |
$134.50 |
| 85018 |
|
66 |
64 |
$109.56 |
| 81025 |
|
25 |
25 |
$70.00 |
| 81002 |
|
13 |
12 |
$22.36 |
| 3075F |
|
36 |
34 |
$0.00 |
| 3079F |
|
68 |
66 |
$0.00 |
| 3074F |
|
257 |
238 |
$0.00 |
| 3080F |
|
29 |
28 |
$0.00 |
| 3078F |
|
246 |
228 |
$0.00 |
| 3725F |
|
195 |
194 |
$0.00 |
| 3077F |
|
64 |
63 |
$0.00 |