| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,941 |
9,569 |
$737K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,622 |
5,430 |
$326K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,684 |
1,611 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,285 |
2,192 |
$164K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,001 |
1,913 |
$59K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
339 |
329 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
734 |
713 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
582 |
285 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
514 |
499 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
200 |
188 |
$2K |
| 99443 |
|
26 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99442 |
|
33 |
33 |
$1K |
| 81003 |
|
687 |
668 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
96 |
91 |
$738.31 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$189.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
16 |
$34.21 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
120 |
114 |
$7.55 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$6.00 |
| 99072 |
|
289 |
273 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
37 |
36 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
254 |
246 |
$0.00 |