| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,370 |
16,741 |
$864K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,039 |
11,275 |
$847K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,651 |
4,417 |
$341K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,490 |
10,854 |
$316K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,430 |
2,339 |
$250K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,229 |
3,073 |
$199K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,313 |
4,180 |
$128K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,948 |
3,578 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,270 |
1,579 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
1,476 |
1,394 |
$25K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
47 |
47 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
754 |
724 |
$7K |
| 0002A |
|
181 |
177 |
$7K |
| 0001A |
|
134 |
131 |
$5K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
16 |
16 |
$4K |
| 81002 |
|
1,676 |
1,580 |
$4K |
| 0003A |
|
94 |
92 |
$3K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$3K |
| 81000 |
|
1,013 |
966 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
350 |
323 |
$2K |
| 72100 |
|
90 |
88 |
$2K |
| 70210 |
|
73 |
73 |
$1K |
| 72040 |
|
44 |
44 |
$874.99 |
| 73610 |
|
50 |
50 |
$847.52 |
| 73630 |
|
42 |
40 |
$680.41 |
| 87428 |
|
13 |
13 |
$650.00 |
| 0011A |
|
13 |
13 |
$541.24 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
12 |
$497.00 |
| 0012A |
|
12 |
12 |
$457.93 |
| 99000 |
|
67 |
48 |
$197.65 |
| Q0222 |
Injection, bebtelovimab, 175 mg |
16 |
16 |
$0.16 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
13 |
13 |
$0.00 |