| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,658 |
2,195 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,023 |
2,610 |
$117K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,824 |
2,502 |
$49K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,863 |
1,646 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,026 |
2,716 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
201 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
469 |
416 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
153 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,662 |
1,389 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,058 |
908 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
66 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
72 |
70 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$810.17 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
378 |
326 |
$516.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$451.00 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
25 |
$176.13 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$36.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$24.00 |
| J0290 |
Injection, ampicillin sodium, 500 mg |
14 |
14 |
$18.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$2.24 |
| 3078F |
|
394 |
327 |
$0.00 |
| 3074F |
|
595 |
492 |
$0.00 |
| 3079F |
|
43 |
41 |
$0.00 |