| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,318 |
3,972 |
$234K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,560 |
1,469 |
$103K |
| 87428 |
|
790 |
739 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
445 |
433 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,346 |
1,237 |
$15K |
| 99215 |
Prolong outpt/office vis |
118 |
114 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
51 |
$673.95 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$427.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$349.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$13.32 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
16 |
13 |
$0.00 |