| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
780 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
685 |
586 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
970 |
854 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
688 |
649 |
$31K |
| 99000 |
|
1,267 |
1,034 |
$29K |
| 87428 |
|
276 |
203 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
451 |
306 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
290 |
274 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
209 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
309 |
281 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
92 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
167 |
$2K |
| 87210 |
|
312 |
296 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
166 |
105 |
$460.10 |
| 81002 |
|
166 |
152 |
$418.60 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
76 |
70 |
$356.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
130 |
85 |
$132.77 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
78 |
$4.70 |