| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
486 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
610 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
268 |
268 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
435 |
417 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
817 |
400 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
431 |
361 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
312 |
304 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
45 |
$849.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
239 |
211 |
$198.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
206 |
182 |
$191.17 |
| 99000 |
|
340 |
328 |
$177.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
91 |
76 |
$160.19 |
| 81002 |
|
58 |
54 |
$149.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$103.50 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
322 |
262 |
$0.00 |