| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,635 |
8,158 |
$593K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,856 |
10,051 |
$523K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,891 |
7,847 |
$496K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,157 |
2,142 |
$198K |
| 99058 |
|
2,070 |
1,943 |
$133K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,903 |
2,892 |
$116K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,562 |
3,445 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,710 |
2,765 |
$67K |
| 99000 |
|
11,221 |
10,437 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,750 |
2,680 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
610 |
586 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,338 |
2,239 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
841 |
809 |
$13K |
| 81002 |
|
2,383 |
2,315 |
$5K |
| 87807 |
|
233 |
232 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
558 |
541 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99051 |
|
15,265 |
14,529 |
$899.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
101 |
$723.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
552 |
532 |
$698.33 |
| 73620 |
|
39 |
39 |
$542.52 |
| 73120 |
|
26 |
25 |
$479.49 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
55 |
54 |
$232.28 |
| 73600 |
|
13 |
12 |
$209.02 |
| 84703 |
|
40 |
37 |
$168.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
70 |
$98.97 |
| 93000 |
|
12 |
12 |
$85.59 |
| S9083 |
Global fee urgent care centers |
13 |
13 |
$65.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
29 |
$11.35 |
| 86756 |
|
28 |
28 |
$0.00 |