| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,509 |
31,113 |
$1.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,062 |
11,339 |
$804K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,478 |
10,412 |
$626K |
| 99058 |
|
8,574 |
7,688 |
$417K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,021 |
2,994 |
$240K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,470 |
6,033 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,982 |
1,860 |
$84K |
| 87428 |
|
2,784 |
2,722 |
$56K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,316 |
1,294 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,715 |
8,158 |
$50K |
| 87430 |
|
4,631 |
4,490 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,667 |
3,577 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,976 |
1,049 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
841 |
814 |
$9K |
| 81025 |
|
2,652 |
2,582 |
$9K |
| 87400 |
|
939 |
465 |
$8K |
| 99000 |
|
1,267 |
1,233 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
178 |
173 |
$6K |
| 73610 |
|
467 |
454 |
$6K |
| 73630 |
|
371 |
353 |
$4K |
| 87807 |
|
709 |
693 |
$3K |
| 99072 |
|
3,242 |
2,985 |
$3K |
| 81003 |
|
2,926 |
2,847 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,293 |
3,088 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,229 |
3,052 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
169 |
166 |
$3K |
| 81002 |
|
2,438 |
2,366 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,085 |
1,026 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
218 |
212 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
92 |
90 |
$2K |
| 73130 |
|
118 |
116 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
348 |
325 |
$1K |
| 0011A |
|
35 |
35 |
$892.05 |
| 73110 |
|
55 |
52 |
$835.40 |
| 0012A |
|
33 |
32 |
$766.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
795 |
765 |
$705.77 |
| 93000 |
|
114 |
112 |
$667.84 |
| 73562 |
|
30 |
30 |
$415.17 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27 |
24 |
$261.45 |
| 73140 |
|
18 |
18 |
$242.83 |
| 87808 |
|
41 |
41 |
$189.90 |
| 74018 |
|
24 |
24 |
$105.18 |
| 86308 |
|
36 |
36 |
$102.96 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
82 |
$90.70 |
| 82962 |
|
27 |
27 |
$29.81 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
26 |
25 |
$17.28 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
17,014 |
15,523 |
$10.32 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
29 |
27 |
$0.12 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
192 |
189 |
$0.00 |
| A9150 |
Non-prescription drugs |
121 |
121 |
$0.00 |
| 91301 |
|
60 |
59 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| S9083 |
Global fee urgent care centers |
18 |
18 |
$0.00 |