| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,573 |
13,030 |
$1.19M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,386 |
6,391 |
$886K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,576 |
4,827 |
$311K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,685 |
3,118 |
$284K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,156 |
6,588 |
$264K |
| 87428 |
|
4,040 |
3,370 |
$233K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,955 |
1,211 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,120 |
1,728 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
268 |
204 |
$9K |
| 99215 |
Prolong outpt/office vis |
59 |
57 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
12 |
$4K |
| 99072 |
|
14,823 |
13,329 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
100 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
63 |
$1K |
| 90674 |
|
62 |
61 |
$957.80 |
| 87481 |
|
12 |
12 |
$631.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$515.74 |
| 81003 |
|
193 |
166 |
$338.75 |
| 81025 |
|
14 |
14 |
$120.54 |
| 99000 |
|
4,507 |
4,204 |
$111.98 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$39.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$14.40 |
| A9150 |
Non-prescription drugs |
44 |
26 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
18,804 |
17,640 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,729 |
1,706 |
$0.00 |
| S9083 |
Global fee urgent care centers |
39 |
35 |
$0.00 |