| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,113 |
4,418 |
$280K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,737 |
3,725 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,082 |
2,699 |
$214K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,434 |
5,868 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,219 |
1,209 |
$105K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,429 |
2,230 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,127 |
1,882 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,607 |
1,556 |
$16K |
| 99000 |
|
4,880 |
4,459 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
559 |
525 |
$9K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
21 |
21 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
205 |
186 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
160 |
156 |
$6K |
| 99441 |
|
77 |
67 |
$2K |
| 81002 |
|
781 |
732 |
$2K |
| 81025 |
|
310 |
299 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
320 |
294 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
133 |
120 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
831 |
746 |
$1K |
| 87430 |
|
121 |
120 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,124 |
1,004 |
$919.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
156 |
147 |
$794.46 |
| 36415 |
Collection of venous blood by venipuncture |
283 |
266 |
$723.16 |
| 86328 |
|
17 |
16 |
$711.55 |
| 99442 |
|
13 |
13 |
$637.08 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
129 |
116 |
$617.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
989 |
891 |
$603.61 |
| 87807 |
|
83 |
82 |
$575.05 |
| 87634 |
|
13 |
13 |
$523.17 |
| 99001 |
|
12 |
12 |
$117.63 |
| J7050 |
Infusion, normal saline solution, 250 cc |
36 |
32 |
$19.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
57 |
51 |
$11.16 |
| 2010F |
|
433 |
416 |
$0.24 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
28 |
27 |
$0.05 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,623 |
1,334 |
$0.02 |
| 4120F |
|
299 |
290 |
$0.00 |
| 99051 |
|
122 |
119 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
211 |
209 |
$0.00 |
| G8710 |
Patient prescribed antibiotic |
223 |
219 |
$0.00 |
| 99070 |
|
65 |
62 |
$0.00 |