| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,609 |
1,574 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,594 |
2,507 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,442 |
1,411 |
$101K |
| 87428 |
|
431 |
408 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
86 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
227 |
225 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
640 |
625 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
110 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
69 |
69 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$373.23 |
| 72100 |
|
16 |
14 |
$370.55 |
| 81003 |
|
210 |
204 |
$320.22 |
| 72040 |
|
13 |
13 |
$272.09 |
| 73610 |
|
14 |
13 |
$230.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$25.82 |