| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,722 |
4,316 |
$302K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
688 |
660 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
720 |
698 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
335 |
313 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
198 |
190 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
194 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
795 |
391 |
$10K |
| 99051 |
|
922 |
889 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
78 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
108 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
159 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
152 |
$866.89 |
| 36415 |
Collection of venous blood by venipuncture |
104 |
96 |
$211.37 |
| 81003 |
|
85 |
80 |
$166.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$25.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$11.92 |