| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,988 |
3,554 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,358 |
2,091 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,077 |
2,037 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,671 |
1,647 |
$110K |
| 99070 |
|
3,621 |
3,264 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
168 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,241 |
1,124 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
23 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
30 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
35 |
$954.95 |
| 73610 |
|
14 |
14 |
$370.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
74 |
$189.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
438 |
353 |
$37.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
46 |
$15.60 |
| 81002 |
|
371 |
355 |
$8.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
274 |
$0.00 |
| 99051 |
|
2,284 |
2,174 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
423 |
210 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
43 |
43 |
$0.00 |
| 99000 |
|
48 |
47 |
$0.00 |
| 94760 |
|
33 |
32 |
$0.00 |