| Code | Description | Claims | Beneficiaries | Total Paid |
| 16020 |
|
1,994 |
1,073 |
$680K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,792 |
2,646 |
$621K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
796 |
715 |
$195K |
| J3490 |
Unclassified drugs |
999 |
379 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
574 |
573 |
$98K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,092 |
595 |
$95K |
| 97535 |
Self-care/home management training, each 15 minutes |
481 |
347 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
317 |
317 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
146 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
128 |
$25K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
300 |
255 |
$22K |
| 97161 |
|
175 |
170 |
$17K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
484 |
420 |
$8K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
497 |
427 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
283 |
246 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
392 |
339 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
238 |
203 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
146 |
111 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
56 |
55 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
49 |
42 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
38 |
$460.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
14 |
12 |
$109.51 |
| 72082 |
|
44 |
44 |
$63.76 |