| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,303 |
4,067 |
$180K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,165 |
1,101 |
$43K |
| 86328 |
|
1,139 |
1,081 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,006 |
946 |
$19K |
| 99091 |
|
104 |
104 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
226 |
$13K |
| 86769 |
|
239 |
227 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
419 |
294 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
49 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
686 |
644 |
$624.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$14.30 |
| 99454 |
|
33 |
33 |
$0.00 |
| 99458 |
|
13 |
13 |
$0.00 |
| 99457 |
|
45 |
45 |
$0.00 |
| 82962 |
|
58 |
53 |
$0.00 |
| 99422 |
|
37 |
12 |
$0.00 |
| 99401 |
|
2,056 |
1,824 |
$0.00 |
| 99072 |
|
631 |
596 |
$0.00 |
| 1160F |
|
33 |
30 |
$0.00 |
| 99490 |
Ccm add 20min |
35 |
35 |
$0.00 |
| 1159F |
|
33 |
30 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |