| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,833 |
3,499 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,375 |
1,367 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,689 |
1,590 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,052 |
1,047 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,148 |
1,921 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,034 |
925 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
463 |
462 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
702 |
663 |
$15K |
| 94760 |
|
3,503 |
3,200 |
$12K |
| 99401 |
|
4,542 |
4,124 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
668 |
637 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
608 |
523 |
$6K |
| 99000 |
|
1,578 |
1,440 |
$2K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
38 |
34 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
495 |
473 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
253 |
$2K |
| 81003 |
|
252 |
234 |
$728.90 |
| 99497 |
|
15 |
15 |
$480.33 |
| 36410 |
|
70 |
67 |
$322.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
78 |
75 |
$289.57 |
| 99072 |
|
101 |
91 |
$228.72 |
| 99051 |
|
171 |
160 |
$21.51 |
| 81002 |
|
17 |
15 |
$8.52 |
| S9083 |
Global fee urgent care centers |
71 |
53 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
65 |
50 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |