| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,125 |
11,791 |
$761K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,493 |
1,323 |
$130K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,712 |
3,579 |
$87K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,124 |
2,055 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,750 |
8,129 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,902 |
3,311 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,488 |
1,361 |
$56K |
| 87430 |
|
3,889 |
3,697 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
800 |
740 |
$36K |
| 99215 |
Prolong outpt/office vis |
523 |
442 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,909 |
2,632 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,289 |
1,208 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
207 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
491 |
474 |
$11K |
| 70210 |
|
702 |
667 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
199 |
$6K |
| 99205 |
Prolong outpt/office vis |
30 |
27 |
$3K |
| 81002 |
|
1,104 |
1,062 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,355 |
1,270 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,163 |
2,020 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
681 |
650 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
40 |
40 |
$433.84 |
| 92567 |
|
30 |
26 |
$297.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$228.00 |
| 86308 |
|
30 |
28 |
$136.56 |
| 82962 |
|
56 |
54 |
$129.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,297 |
2,988 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
523 |
491 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
121 |
116 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,762 |
7,049 |
$0.00 |