| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,844 |
12,878 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,948 |
6,445 |
$289K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,080 |
4,879 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,507 |
6,787 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,730 |
3,821 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
807 |
628 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
863 |
748 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,041 |
1,017 |
$27K |
| 96127 |
|
2,641 |
2,213 |
$9K |
| 87807 |
|
764 |
608 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
151 |
87 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
125 |
103 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
43 |
$725.36 |
| 81003 |
|
364 |
266 |
$59.57 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
22 |
14 |
$22.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
37 |
27 |
$9.55 |
| 99499 |
|
2,654 |
2,329 |
$0.00 |
| 3725F |
|
620 |
603 |
$0.00 |
| 3351F |
|
478 |
443 |
$0.00 |
| 3352F |
|
17 |
17 |
$0.00 |