| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,777 |
8,525 |
$944K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,693 |
6,878 |
$617K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,973 |
8,205 |
$597K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,173 |
6,863 |
$429K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,825 |
10,202 |
$273K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,928 |
9,311 |
$259K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,848 |
9,282 |
$121K |
| 87428 |
|
2,468 |
1,677 |
$81K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,382 |
1,178 |
$32K |
| 96127 |
|
7,524 |
6,224 |
$27K |
| 87807 |
|
463 |
324 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
179 |
$1K |
| 81003 |
|
411 |
342 |
$647.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$544.34 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$267.94 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
45 |
40 |
$131.02 |
| 3351F |
|
2,121 |
1,851 |
$0.00 |
| 3353F |
|
58 |
50 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21 |
13 |
$0.00 |
| 3352F |
|
149 |
118 |
$0.00 |
| 3725F |
|
3,353 |
2,945 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,032 |
2,523 |
$0.00 |