| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,414 |
4,658 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,924 |
2,392 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,055 |
873 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,667 |
1,919 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,725 |
2,774 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,977 |
3,640 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,504 |
2,425 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
387 |
212 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
698 |
611 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
989 |
646 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
208 |
188 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
195 |
125 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,537 |
965 |
$1K |
| 87807 |
|
174 |
127 |
$1K |
| 81001 |
|
656 |
436 |
$1K |
| 94760 |
|
635 |
356 |
$555.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,240 |
807 |
$507.12 |
| 80053 |
Comprehensive metabolic panel |
30 |
24 |
$168.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
12 |
$45.00 |
| 81002 |
|
12 |
12 |
$36.00 |
| 99000 |
|
838 |
502 |
$22.17 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
12 |
$0.03 |
| 1160F |
|
4,322 |
3,905 |
$0.00 |
| 3078F |
|
1,537 |
1,375 |
$0.00 |
| 3077F |
|
61 |
53 |
$0.00 |
| 99051 |
|
54 |
52 |
$0.00 |
| 3008F |
|
5,412 |
4,785 |
$0.00 |
| 3074F |
|
2,180 |
1,930 |
$0.00 |
| 36416 |
|
345 |
330 |
$0.00 |
| 1126F |
|
108 |
95 |
$0.00 |
| 1036F |
|
1,535 |
1,326 |
$0.00 |
| 1125F |
|
256 |
205 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |
| 3079F |
|
140 |
124 |
$0.00 |
| 3075F |
|
17 |
12 |
$0.00 |