| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,000 |
6,160 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,659 |
4,955 |
$155K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,387 |
4,258 |
$97K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,237 |
4,663 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
849 |
765 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,658 |
3,254 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
474 |
425 |
$24K |
| 96127 |
|
5,201 |
4,615 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
303 |
290 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
482 |
418 |
$6K |
| 87807 |
|
320 |
292 |
$3K |
| 87400 |
|
24 |
12 |
$219.06 |
| 81003 |
|
860 |
767 |
$216.62 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
65 |
$175.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
44 |
43 |
$130.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
137 |
112 |
$111.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
42 |
$22.13 |
| 3353F |
|
225 |
198 |
$0.00 |
| 3351F |
|
1,126 |
952 |
$0.00 |
| 3352F |
|
212 |
178 |
$0.00 |
| 3725F |
|
1,604 |
1,366 |
$0.00 |