| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,449 |
26,718 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,573 |
7,200 |
$295K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,195 |
4,130 |
$233K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,767 |
2,728 |
$176K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,082 |
3,880 |
$85K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
973 |
963 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,297 |
3,241 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,285 |
1,219 |
$15K |
| 87070 |
|
1,728 |
1,667 |
$13K |
| 81002 |
|
6,350 |
6,044 |
$12K |
| G9920 |
Screening performed and negative |
401 |
401 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
379 |
370 |
$9K |
| 81025 |
|
3,388 |
3,235 |
$9K |
| 73630 |
|
211 |
209 |
$5K |
| 73610 |
|
183 |
181 |
$5K |
| 93000 |
|
148 |
145 |
$4K |
| 99215 |
Prolong outpt/office vis |
66 |
66 |
$4K |
| 73130 |
|
140 |
140 |
$4K |
| 73110 |
|
115 |
115 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,729 |
1,642 |
$3K |
| 29540 |
|
144 |
142 |
$2K |
| 0064A |
|
51 |
51 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
53 |
53 |
$2K |
| 80306 |
|
113 |
106 |
$2K |
| 73562 |
|
66 |
66 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,206 |
1,166 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,072 |
1,026 |
$1K |
| 82962 |
|
507 |
492 |
$980.08 |
| 0004A |
|
24 |
24 |
$960.00 |
| 90686 |
|
51 |
51 |
$955.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
404 |
380 |
$873.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
162 |
$709.35 |
| 99000 |
|
192 |
188 |
$664.32 |
| 90714 |
|
30 |
29 |
$659.40 |
| 90674 |
|
23 |
23 |
$647.89 |
| J3490 |
Unclassified drugs |
539 |
523 |
$548.44 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$521.04 |
| 10060 |
|
13 |
13 |
$504.24 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
66 |
61 |
$441.78 |
| 73140 |
|
25 |
25 |
$385.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$182.70 |
| 69209 |
|
14 |
14 |
$159.88 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,064 |
1,004 |
$146.11 |
| 73560 |
|
12 |
12 |
$128.04 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
18 |
16 |
$73.66 |
| 81003 |
|
15 |
15 |
$27.31 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
15 |
$26.24 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$4.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
46 |
46 |
$2.50 |