| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,830 |
17,009 |
$885K |
| 99215 |
Prolong outpt/office vis |
5,234 |
4,389 |
$295K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,058 |
2,664 |
$202K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,826 |
5,323 |
$186K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,410 |
7,885 |
$157K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,987 |
9,316 |
$94K |
| 99051 |
|
9,513 |
8,366 |
$84K |
| 87428 |
|
1,517 |
1,433 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,615 |
1,379 |
$48K |
| 99205 |
Prolong outpt/office vis |
418 |
383 |
$37K |
| 87807 |
|
1,919 |
1,392 |
$14K |
| 99401 |
|
887 |
601 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
93 |
$5K |
| 81002 |
|
2,517 |
2,146 |
$4K |
| 81025 |
|
849 |
711 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,287 |
956 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
17 |
$1K |
| 99173 |
|
163 |
125 |
$200.24 |
| 99402 |
|
19 |
13 |
$191.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
356 |
324 |
$154.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$138.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
40 |
$96.94 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$12.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$0.22 |
| 91300 |
|
15 |
14 |
$0.00 |