| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,315 |
4,699 |
$258K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,661 |
3,336 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,066 |
1,459 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,845 |
1,475 |
$98K |
| 87400 |
|
4,727 |
2,155 |
$36K |
| 87430 |
|
1,696 |
1,231 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
100 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
378 |
244 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,772 |
1,292 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
85 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
130 |
$4K |
| 87428 |
|
147 |
113 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
54 |
49 |
$2K |
| 87420 |
|
303 |
192 |
$2K |
| 0002A |
|
56 |
49 |
$2K |
| 0001A |
|
55 |
40 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
26 |
$631.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
631 |
467 |
$575.68 |
| 0071A |
|
29 |
18 |
$430.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
862 |
665 |
$335.58 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
136 |
$178.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$163.50 |
| 81003 |
|
131 |
106 |
$137.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
16 |
$55.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
12 |
$44.13 |
| 91301 |
|
13 |
12 |
$0.00 |
| 99000 |
|
32 |
20 |
$0.00 |