| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,002 |
23,975 |
$1.82M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,927 |
8,926 |
$829K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15,144 |
14,300 |
$605K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,642 |
4,546 |
$434K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,333 |
6,190 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,109 |
1,109 |
$150K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
861 |
817 |
$123K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,485 |
6,206 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,165 |
4,112 |
$60K |
| 99051 |
|
3,639 |
3,534 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
323 |
323 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
506 |
487 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
258 |
257 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,766 |
3,668 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
157 |
155 |
$4K |
| 87807 |
|
335 |
330 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,670 |
1,608 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
90 |
86 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
607 |
586 |
$803.94 |
| 81025 |
|
26 |
26 |
$199.16 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
146 |
146 |
$78.94 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$15.48 |