| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,674 |
1,301 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,288 |
1,954 |
$114K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,244 |
1,041 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
570 |
533 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,062 |
643 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,302 |
1,126 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
135 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
501 |
261 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
33 |
12 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
29 |
$1K |
| 96127 |
|
85 |
76 |
$1K |
| 80053 |
Comprehensive metabolic panel |
62 |
43 |
$611.24 |
| 81003 |
|
220 |
191 |
$462.52 |
| 93000 |
|
13 |
12 |
$287.95 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$281.55 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
189 |
85 |
$259.66 |
| 85379 |
|
13 |
13 |
$97.50 |
| 81025 |
|
15 |
14 |
$72.38 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
22 |
$0.00 |