| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,632 |
2,322 |
$69K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,673 |
2,434 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,049 |
1,039 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,295 |
1,195 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
686 |
682 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,286 |
1,128 |
$10K |
| 87276 |
|
1,443 |
1,351 |
$7K |
| 87275 |
|
1,448 |
1,354 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
196 |
196 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
452 |
386 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
103 |
$2K |
| 99000 |
|
274 |
257 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
238 |
228 |
$2K |
| 86317 |
|
323 |
317 |
$1K |
| 99051 |
|
3,944 |
3,579 |
$522.84 |
| 86756 |
|
78 |
76 |
$405.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
376 |
363 |
$257.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
99 |
$238.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
603 |
554 |
$51.35 |
| 81000 |
|
27 |
25 |
$25.68 |
| 3078F |
|
964 |
887 |
$0.00 |
| 3077F |
|
380 |
337 |
$0.00 |
| 3075F |
|
239 |
224 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,100 |
4,518 |
$0.00 |
| 3074F |
|
1,079 |
975 |
$0.00 |
| 3080F |
|
216 |
191 |
$0.00 |
| 3079F |
|
558 |
507 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |