| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,901 |
16,319 |
$806K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,995 |
3,823 |
$281K |
| 87428 |
|
8,042 |
6,114 |
$140K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,134 |
4,715 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,230 |
1,407 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
776 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,994 |
5,059 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,940 |
1,076 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,069 |
1,329 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
197 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
463 |
308 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,392 |
1,561 |
$9K |
| 99215 |
Prolong outpt/office vis |
126 |
99 |
$7K |
| 87807 |
|
736 |
502 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
351 |
267 |
$4K |
| 81003 |
|
3,501 |
2,385 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,221 |
2,108 |
$3K |
| 87420 |
|
231 |
187 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
45 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,804 |
2,541 |
$926.98 |
| 99417 |
Prolong home eval add 15m |
73 |
47 |
$895.00 |
| 81025 |
|
190 |
139 |
$656.52 |
| 74019 |
|
13 |
13 |
$213.79 |
| 0011A |
|
14 |
12 |
$181.69 |
| 86308 |
|
35 |
30 |
$117.42 |
| 93000 |
|
17 |
12 |
$107.04 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
49 |
$58.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
160 |
97 |
$4.57 |
| 94760 |
|
55 |
51 |
$2.92 |
| 99000 |
|
167 |
135 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
16 |
$0.00 |
| A9150 |
Non-prescription drugs |
149 |
103 |
$0.00 |
| 36000 |
|
94 |
50 |
$0.00 |
| 0012A |
|
16 |
15 |
$0.00 |