| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,492 |
5,742 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,782 |
6,158 |
$278K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,010 |
4,627 |
$261K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,281 |
2,012 |
$170K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,353 |
2,165 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,555 |
4,095 |
$50K |
| 99215 |
Prolong outpt/office vis |
331 |
261 |
$25K |
| 87428 |
|
818 |
723 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
509 |
478 |
$19K |
| 99205 |
Prolong outpt/office vis |
69 |
67 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
596 |
458 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
56 |
$3K |
| 81002 |
|
625 |
575 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
13 |
$434.52 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
32 |
14 |
$383.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$173.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
146 |
89 |
$96.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
161 |
116 |
$88.71 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
67 |
40 |
$67.87 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
34 |
16 |
$44.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
27 |
12 |
$12.62 |