| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,844 |
4,420 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,647 |
3,252 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,425 |
4,757 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,765 |
1,615 |
$136K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,409 |
3,157 |
$103K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,471 |
1,237 |
$50K |
| 99051 |
|
4,624 |
4,078 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,921 |
2,569 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,201 |
938 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
460 |
441 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
198 |
186 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
199 |
170 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
142 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
68 |
$2K |
| 87807 |
|
164 |
140 |
$2K |
| 81003 |
|
604 |
556 |
$863.90 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$289.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
29 |
$68.59 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
14 |
$42.98 |
| 99072 |
|
3,341 |
3,148 |
$0.00 |
| 99000 |
|
530 |
450 |
$0.00 |