| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,764 |
18,997 |
$1.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,777 |
4,421 |
$486K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,144 |
2,144 |
$204K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,380 |
3,921 |
$182K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,807 |
1,740 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,562 |
2,286 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$13K |
| 86328 |
|
213 |
209 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
568 |
555 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
856 |
828 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
138 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
53 |
$2K |
| 87807 |
|
198 |
193 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,231 |
1,187 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
545 |
456 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$878.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$718.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
279 |
263 |
$497.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,200 |
1,157 |
$283.10 |
| 94664 |
|
13 |
12 |
$172.99 |
| 81002 |
|
53 |
48 |
$164.30 |
| 90686 |
|
48 |
48 |
$146.64 |
| 81025 |
|
13 |
12 |
$99.58 |
| 96160 |
|
44 |
44 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |