| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,042 |
5,379 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,868 |
4,354 |
$133K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,509 |
3,732 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,296 |
1,148 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,653 |
3,315 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,229 |
4,776 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
906 |
812 |
$44K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
615 |
599 |
$21K |
| 96127 |
|
2,689 |
2,457 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
228 |
196 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
83 |
$2K |
| 87807 |
|
81 |
71 |
$829.02 |
| 81003 |
|
569 |
497 |
$68.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
25 |
$22.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
16 |
$19.22 |
| 3351F |
|
977 |
899 |
$0.00 |
| 3353F |
|
94 |
89 |
$0.00 |
| 3352F |
|
162 |
155 |
$0.00 |
| 3725F |
|
1,304 |
1,209 |
$0.00 |