| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
1,033 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,713 |
1,162 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
177 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
159 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
334 |
269 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
78 |
$2K |
| 90674 |
|
78 |
76 |
$2K |
| 90661 |
|
51 |
51 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
156 |
143 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
376 |
313 |
$633.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
208 |
$578.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
108 |
$260.98 |
| 80305 |
|
29 |
25 |
$142.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
26 |
$57.76 |
| G0008 |
Administration of influenza virus vaccine |
76 |
74 |
$22.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$3.74 |