| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,271 |
1,233 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,365 |
1,270 |
$100K |
| 87428 |
|
1,250 |
1,214 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
542 |
519 |
$24K |
| 99215 |
Prolong outpt/office vis |
143 |
136 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
280 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
669 |
653 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
203 |
$6K |
| 96127 |
|
967 |
966 |
$4K |
| 99051 |
|
199 |
194 |
$1K |
| 87807 |
|
105 |
102 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$346.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$313.12 |
| 99406 |
|
18 |
18 |
$240.76 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
63 |
$158.11 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$71.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$24.20 |
| 96160 |
|
614 |
614 |
$4.46 |
| 99072 |
|
12 |
12 |
$0.00 |