| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207,463 |
159,251 |
$22.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158,334 |
129,613 |
$18.93M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128,762 |
105,084 |
$14.51M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46,106 |
38,460 |
$5.52M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24,130 |
20,731 |
$2.99M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,886 |
14,824 |
$1.93M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
156,359 |
123,452 |
$416K |
| S9083 |
Global fee urgent care centers |
1,892 |
1,760 |
$277K |
| 99215 |
Prolong outpt/office vis |
943 |
806 |
$109K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108,333 |
83,473 |
$97K |
| 99201 |
|
644 |
592 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67,710 |
52,966 |
$65K |
| 99205 |
Prolong outpt/office vis |
291 |
245 |
$34K |
| 81002 |
|
26,853 |
20,417 |
$23K |
| 87428 |
|
5,949 |
4,026 |
$15K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
65 |
45 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,177 |
4,900 |
$10K |
| 0002A |
|
618 |
574 |
$8K |
| 0001A |
|
675 |
618 |
$7K |
| 87807 |
|
7,929 |
6,810 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,053 |
1,460 |
$5K |
| 73630 |
|
1,348 |
1,022 |
$4K |
| 81025 |
|
8,859 |
6,646 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,392 |
1,102 |
$4K |
| 93000 |
|
1,206 |
957 |
$3K |
| 73610 |
|
1,362 |
1,012 |
$2K |
| 73130 |
|
606 |
452 |
$1K |
| 94760 |
|
293 |
211 |
$1K |
| 0012A |
|
231 |
192 |
$1K |
| 87808 |
|
2,327 |
1,692 |
$732.74 |
| A9150 |
Non-prescription drugs |
3,819 |
2,418 |
$692.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
272 |
$665.74 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
192 |
159 |
$590.08 |
| 87905 |
|
1,142 |
760 |
$589.18 |
| 73562 |
|
328 |
246 |
$550.12 |
| 83986 |
|
1,816 |
1,528 |
$532.31 |
| 73110 |
|
454 |
337 |
$505.08 |
| A4570 |
Splint |
183 |
146 |
$490.67 |
| 0011A |
|
248 |
209 |
$475.83 |
| A4649 |
Surgical supply; miscellaneous |
278 |
217 |
$474.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,285 |
950 |
$385.49 |
| 73140 |
|
429 |
309 |
$367.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,145 |
860 |
$283.34 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
704 |
547 |
$252.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,665 |
1,078 |
$240.39 |
| 69209 |
|
28 |
27 |
$222.09 |
| 82962 |
|
222 |
173 |
$169.04 |
| 99000 |
|
654 |
427 |
$154.69 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
314 |
161 |
$81.90 |
| 86308 |
|
943 |
714 |
$50.34 |
| 90715 |
|
18 |
13 |
$41.39 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
170 |
121 |
$33.24 |
| 73660 |
|
12 |
12 |
$16.15 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
982 |
743 |
$7.33 |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
661 |
400 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
151 |
88 |
$0.00 |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
43 |
41 |
$0.00 |
| 99070 |
|
39 |
26 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 73030 |
|
12 |
12 |
$0.00 |
| 99173 |
|
35 |
28 |
$0.00 |
| L3260 |
Surgical boot/shoe, each |
34 |
13 |
$0.00 |
| 3028F |
|
29 |
27 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 91300 |
|
74 |
49 |
$0.00 |