| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,629 |
12,949 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,977 |
7,959 |
$583K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,175 |
4,857 |
$450K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,713 |
2,511 |
$200K |
| S9083 |
Global fee urgent care centers |
1,658 |
1,460 |
$162K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,648 |
4,287 |
$128K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,282 |
4,174 |
$64K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,732 |
1,445 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,334 |
2,470 |
$21K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
251 |
142 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
76 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,765 |
1,298 |
$4K |
| 99215 |
Prolong outpt/office vis |
39 |
34 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
937 |
674 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 87807 |
|
107 |
77 |
$326.16 |
| 0011A |
|
16 |
15 |
$307.84 |
| 81003 |
|
150 |
111 |
$69.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
119 |
99 |
$46.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
52 |
$22.65 |
| 91301 |
|
13 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$0.00 |