| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,224 |
761 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
627 |
458 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
87 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
137 |
107 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
40 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
20 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
69 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
74 |
$1K |
| 87807 |
|
40 |
40 |
$418.00 |
| G0315 |
Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) |
15 |
14 |
$355.04 |
| 99000 |
|
42 |
37 |
$116.20 |
| 96127 |
|
31 |
29 |
$75.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
315 |
70 |
$20.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
339 |
91 |
$6.20 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
109 |
60 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
80 |
64 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
58 |
51 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
28 |
27 |
$0.00 |