| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,882 |
3,991 |
$332K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,607 |
3,022 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,864 |
1,644 |
$160K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,552 |
3,892 |
$119K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,794 |
1,661 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,751 |
2,081 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,062 |
1,749 |
$25K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
171 |
158 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
174 |
167 |
$16K |
| 87428 |
|
431 |
419 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
864 |
594 |
$5K |
| 81025 |
|
307 |
257 |
$2K |
| 81003 |
|
871 |
754 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
46 |
$828.80 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
19 |
$701.86 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$610.73 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$547.11 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
110 |
104 |
$541.99 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
38 |
24 |
$142.95 |
| 86308 |
|
14 |
14 |
$55.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$12.46 |
| A9150 |
Non-prescription drugs |
46 |
30 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
23 |
23 |
$0.00 |