| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,406 |
4,371 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,565 |
5,035 |
$147K |
| 87428 |
|
1,818 |
1,705 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,970 |
1,814 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
564 |
562 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
732 |
705 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
847 |
794 |
$6K |
| 81003 |
|
507 |
484 |
$644.00 |
| 99050 |
|
323 |
311 |
$227.50 |
| 99051 |
|
263 |
257 |
$222.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
69 |
$189.88 |
| 99000 |
|
61 |
60 |
$104.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$102.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$47.49 |