| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,263 |
1,864 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,316 |
1,133 |
$81K |
| 99058 |
|
742 |
636 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,640 |
1,360 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
114 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
413 |
397 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
269 |
165 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
173 |
168 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
25 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
27 |
27 |
$850.89 |
| 94618 |
|
43 |
36 |
$717.77 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
26 |
25 |
$599.75 |
| 99000 |
|
44 |
40 |
$553.84 |
| 81001 |
|
137 |
126 |
$345.95 |
| 74019 |
|
13 |
13 |
$212.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$22.64 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
58 |
53 |
$0.00 |