| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,389 |
4,627 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,221 |
6,955 |
$208K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,257 |
4,465 |
$94K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,094 |
4,375 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,614 |
1,354 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,389 |
5,421 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
654 |
523 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
751 |
720 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,342 |
1,094 |
$17K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
404 |
324 |
$6K |
| 99215 |
Prolong outpt/office vis |
47 |
45 |
$3K |
| 96127 |
|
428 |
414 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
48 |
$719.61 |
| 87807 |
|
66 |
55 |
$580.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$313.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
432 |
354 |
$268.92 |
| 81003 |
|
916 |
759 |
$147.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
37 |
$51.46 |
| 3079F |
|
12 |
12 |
$0.07 |
| 3351F |
|
181 |
177 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |
| 3352F |
|
32 |
32 |
$0.00 |
| 3725F |
|
104 |
103 |
$0.00 |