| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,044 |
8,602 |
$830K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,032 |
9,515 |
$622K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,294 |
2,284 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,350 |
1,344 |
$113K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
904 |
897 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,188 |
4,078 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,054 |
1,036 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
701 |
691 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
369 |
$9K |
| 81002 |
|
936 |
908 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
470 |
453 |
$2K |
| 81003 |
|
702 |
674 |
$1K |
| 87428 |
|
17 |
17 |
$989.40 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$256.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
134 |
132 |
$244.80 |
| 90686 |
|
14 |
14 |
$234.96 |
| 99000 |
|
16 |
15 |
$206.27 |
| 81025 |
|
12 |
12 |
$85.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
43 |
$44.54 |
| 3074F |
|
804 |
748 |
$0.02 |
| 3078F |
|
642 |
595 |
$0.02 |
| 3079F |
|
193 |
184 |
$0.01 |
| 1170F |
|
541 |
488 |
$0.00 |
| 1036F |
|
579 |
529 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
55 |
50 |
$0.00 |
| 1034F |
|
60 |
52 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3075F |
|
21 |
20 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
53 |
48 |
$0.00 |
| 1160F |
|
27 |
27 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| 1159F |
|
27 |
27 |
$0.00 |