| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,091 |
956 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,547 |
1,401 |
$75K |
| 99000 |
|
1,043 |
879 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
260 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
462 |
332 |
$16K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
215 |
213 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
286 |
$15K |
| 87428 |
|
211 |
201 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
241 |
228 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
341 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
44 |
44 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
287 |
229 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
41 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26 |
26 |
$996.50 |
| 81002 |
|
141 |
133 |
$364.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
44 |
$99.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
77 |
59 |
$77.58 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$4.10 |
| 3008F |
|
249 |
247 |
$0.00 |
| 3074F |
|
232 |
231 |
$0.00 |