| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,287 |
9,755 |
$695K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,134 |
11,331 |
$630K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,440 |
4,436 |
$396K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,924 |
5,914 |
$378K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,537 |
4,158 |
$112K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,039 |
973 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,360 |
1,208 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,636 |
2,531 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,969 |
1,931 |
$24K |
| 99058 |
|
273 |
255 |
$18K |
| 87428 |
|
796 |
757 |
$16K |
| 99000 |
|
8,505 |
7,922 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
153 |
150 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
322 |
315 |
$8K |
| 81002 |
|
2,118 |
2,078 |
$5K |
| 81025 |
|
769 |
756 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
151 |
148 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
965 |
952 |
$3K |
| 87210 |
|
1,015 |
987 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
436 |
427 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
970 |
946 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
43 |
$425.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
326 |
319 |
$286.53 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
55 |
53 |
$183.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
30 |
30 |
$125.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
14 |
$14.58 |
| 99051 |
|
308 |
304 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
12 |
$0.00 |