| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,212 |
7,187 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,475 |
5,446 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
652 |
418 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,182 |
711 |
$12K |
| 99234 |
|
460 |
207 |
$10K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
33 |
12 |
$10K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
615 |
99 |
$8K |
| 11043 |
|
204 |
28 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
489 |
184 |
$4K |
| 11721 |
|
753 |
498 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
320 |
114 |
$4K |
| 99490 |
Ccm add 20min |
640 |
306 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
51 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
115 |
77 |
$3K |
| 87428 |
|
70 |
44 |
$3K |
| 20610 |
|
171 |
69 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,379 |
1,420 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
139 |
70 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
69 |
25 |
$1K |
| 99221 |
|
55 |
25 |
$606.64 |
| 11720 |
|
123 |
76 |
$476.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
72 |
$455.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
257 |
82 |
$336.43 |
| 36415 |
Collection of venous blood by venipuncture |
472 |
240 |
$237.45 |
| 99442 |
|
22 |
19 |
$166.08 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
73 |
15 |
$165.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
25 |
$118.08 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
160 |
43 |
$59.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
55 |
$20.72 |
| 3077F |
|
758 |
567 |
$10.00 |
| 3080F |
|
261 |
181 |
$10.00 |
| 3079F |
|
571 |
439 |
$0.04 |
| 3075F |
|
223 |
164 |
$0.02 |
| 3078F |
|
1,050 |
819 |
$0.00 |
| 0502F |
|
1,304 |
880 |
$0.00 |
| 1160F |
|
2,944 |
2,025 |
$0.00 |
| 1159F |
|
2,880 |
1,979 |
$0.00 |
| 3074F |
|
1,029 |
800 |
$0.00 |
| 3008F |
|
2,932 |
2,118 |
$0.00 |
| 1036F |
|
1,698 |
1,156 |
$0.00 |
| 1125F |
|
968 |
667 |
$0.00 |
| 1034F |
|
579 |
384 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
32 |
26 |
$0.00 |
| 0500F |
|
72 |
70 |
$0.00 |
| 1126F |
|
437 |
315 |
$0.00 |
| 99000 |
|
54 |
37 |
$0.00 |