| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,823 |
5,270 |
$375K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,377 |
2,255 |
$250K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,378 |
1,276 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,239 |
2,000 |
$107K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
790 |
758 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
253 |
247 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
336 |
325 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
132 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
210 |
$3K |
| 87428 |
|
46 |
44 |
$2K |
| 81003 |
|
430 |
408 |
$629.72 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
14 |
14 |
$575.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$208.46 |