| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
6,133 |
3,440 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,389 |
13,384 |
$759K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,508 |
5,346 |
$434K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,137 |
10,316 |
$387K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,870 |
1,202 |
$381K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,093 |
3,673 |
$380K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,214 |
3,533 |
$187K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,594 |
6,370 |
$178K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,036 |
9,175 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,239 |
4,191 |
$90K |
| 99051 |
|
7,212 |
5,909 |
$45K |
| 87807 |
|
2,950 |
2,433 |
$27K |
| 87486 |
|
1,977 |
1,214 |
$17K |
| 87581 |
|
2,000 |
1,214 |
$16K |
| 99215 |
Prolong outpt/office vis |
241 |
178 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,173 |
1,202 |
$12K |
| 99205 |
Prolong outpt/office vis |
109 |
106 |
$10K |
| 86328 |
|
289 |
236 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,716 |
1,851 |
$3K |
| 81003 |
|
3,449 |
2,443 |
$3K |
| 86769 |
|
138 |
64 |
$2K |
| 94760 |
|
3,132 |
2,197 |
$2K |
| 81025 |
|
414 |
324 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
36 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,403 |
1,215 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
18 |
13 |
$726.44 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
24 |
$390.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$326.69 |
| 36415 |
Collection of venous blood by venipuncture |
348 |
188 |
$274.13 |
| 36416 |
|
179 |
138 |
$156.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
166 |
131 |
$5.37 |
| 99000 |
|
2,291 |
1,404 |
$3.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
17,059 |
11,307 |
$0.00 |