| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,524 |
8,496 |
$708K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,092 |
4,369 |
$276K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,697 |
3,249 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,319 |
1,096 |
$96K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,033 |
3,324 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
255 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,764 |
1,491 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
715 |
460 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
222 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
78 |
72 |
$3K |
| 81002 |
|
788 |
580 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
274 |
218 |
$1K |
| 87807 |
|
114 |
84 |
$571.08 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
169 |
$346.47 |
| 99000 |
|
406 |
314 |
$281.55 |
| 81025 |
|
30 |
24 |
$204.48 |
| 94760 |
|
18 |
13 |
$9.73 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
493 |
402 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 99051 |
|
386 |
326 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$0.00 |