| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,180 |
5,682 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,594 |
3,365 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,603 |
2,523 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
982 |
949 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,811 |
1,722 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
866 |
773 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
230 |
$3K |
| 81025 |
|
648 |
603 |
$2K |
| 81003 |
|
1,206 |
1,133 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
165 |
152 |
$1K |
| 73130 |
|
57 |
57 |
$819.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
413 |
382 |
$407.69 |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
43 |
$351.50 |
| 81002 |
|
242 |
234 |
$226.94 |
| 73610 |
|
14 |
14 |
$186.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
235 |
219 |
$121.45 |
| 93000 |
|
14 |
12 |
$95.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
29 |
$6.16 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
32 |
30 |
$2.52 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
18 |
18 |
$0.03 |
| 97602 |
|
38 |
36 |
$0.00 |
| A4550 |
Surgical trays |
15 |
13 |
$0.00 |
| S9083 |
Global fee urgent care centers |
13 |
12 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
260 |
245 |
$0.00 |