| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,783 |
1,703 |
$126K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
927 |
920 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
572 |
570 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,182 |
1,122 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,469 |
1,396 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,484 |
755 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
786 |
770 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
316 |
311 |
$7K |
| S9083 |
Global fee urgent care centers |
22 |
22 |
$2K |
| 81003 |
|
343 |
336 |
$891.10 |
| 81025 |
|
109 |
104 |
$822.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
171 |
167 |
$19.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$9.90 |
| 99072 |
|
34 |
29 |
$0.00 |