| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,960 |
3,362 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,152 |
1,851 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,028 |
921 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,147 |
1,708 |
$61K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,332 |
1,198 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,322 |
1,159 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
363 |
325 |
$18K |
| 87808 |
|
457 |
394 |
$7K |
| 81025 |
|
1,236 |
1,063 |
$5K |
| 99215 |
Prolong outpt/office vis |
94 |
60 |
$5K |
| 87905 |
|
462 |
377 |
$4K |
| 81002 |
|
1,301 |
1,144 |
$3K |
| 87807 |
|
301 |
265 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
114 |
$1K |
| 99384 |
|
17 |
16 |
$833.44 |
| 99383 |
|
17 |
17 |
$671.10 |
| 93000 |
|
15 |
13 |
$310.10 |
| 36415 |
Collection of venous blood by venipuncture |
411 |
365 |
$267.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$21.09 |
| 94760 |
|
52 |
41 |
$17.60 |
| 99000 |
|
23 |
21 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
50 |
40 |
$0.00 |