| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,907 |
3,605 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,301 |
7,198 |
$149K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,047 |
2,769 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
782 |
742 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,316 |
2,100 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,005 |
1,872 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,861 |
2,652 |
$23K |
| 96127 |
|
805 |
406 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
530 |
434 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,386 |
1,067 |
$2K |
| 81025 |
|
396 |
370 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
444 |
364 |
$771.94 |
| 87807 |
|
49 |
46 |
$744.09 |
| 81003 |
|
907 |
848 |
$498.08 |
| 87420 |
|
14 |
14 |
$215.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
91 |
84 |
$89.78 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |