| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,357 |
3,088 |
$214K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,324 |
2,246 |
$202K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,954 |
3,784 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,904 |
1,806 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,677 |
$90K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,800 |
3,352 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,855 |
3,712 |
$54K |
| 99051 |
|
2,409 |
2,292 |
$15K |
| 81003 |
|
631 |
612 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
253 |
240 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
136 |
122 |
$3K |
| 81025 |
|
205 |
201 |
$2K |
| 87807 |
|
148 |
147 |
$2K |
| 87428 |
|
13 |
13 |
$861.36 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$392.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$207.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
40 |
40 |
$76.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
184 |
171 |
$72.91 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
17 |
16 |
$10.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$2.87 |
| 99000 |
|
405 |
390 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
16 |
13 |
$0.00 |
| A9150 |
Non-prescription drugs |
15 |
13 |
$0.00 |