| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,203 |
27,218 |
$1.13M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27,580 |
11,535 |
$634K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
65,614 |
27,079 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,486 |
11,814 |
$288K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,834 |
6,000 |
$215K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90,138 |
20,736 |
$205K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41,255 |
18,608 |
$111K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17,414 |
6,162 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,557 |
1,498 |
$28K |
| 87428 |
|
6,817 |
1,843 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
335 |
325 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,242 |
2,419 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,085 |
973 |
$8K |
| 87807 |
|
1,206 |
894 |
$5K |
| 99215 |
Prolong outpt/office vis |
397 |
96 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
168 |
165 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
489 |
217 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
752 |
214 |
$3K |
| 99205 |
Prolong outpt/office vis |
89 |
26 |
$2K |
| 81003 |
|
1,425 |
860 |
$768.85 |
| 71046 |
Radiologic examination, chest; 2 views |
143 |
40 |
$714.27 |
| 86308 |
|
135 |
123 |
$367.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,488 |
737 |
$293.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
445 |
159 |
$124.92 |
| 81025 |
|
109 |
83 |
$21.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
39 |
$17.20 |
| 36415 |
Collection of venous blood by venipuncture |
200 |
194 |
$3.45 |
| 99441 |
|
706 |
166 |
$0.00 |
| 81002 |
|
127 |
24 |
$0.00 |