| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
194 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
202 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
239 |
235 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
124 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
109 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
32 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
101 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
12 |
12 |
$227.52 |
| J7510 |
Prednisolone oral, per 5 mg |
33 |
31 |
$62.28 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
41 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
193 |
191 |
$0.00 |