| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,526 |
26,910 |
$2.65M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,776 |
6,254 |
$738K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,538 |
4,225 |
$541K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
22,879 |
19,961 |
$390K |
| 87428 |
|
6,176 |
5,854 |
$186K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,548 |
5,981 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
467 |
433 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
956 |
923 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,723 |
1,110 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
843 |
818 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
451 |
375 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,665 |
1,500 |
$28K |
| 81003 |
|
2,727 |
2,528 |
$16K |
| 99215 |
Prolong outpt/office vis |
110 |
103 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
761 |
629 |
$9K |
| 87807 |
|
427 |
401 |
$6K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
484 |
414 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
576 |
500 |
$3K |
| 93000 |
|
149 |
139 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
259 |
210 |
$2K |
| 99051 |
|
101 |
99 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
15 |
15 |
$983.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
465 |
432 |
$973.74 |
| 80047 |
|
59 |
54 |
$609.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$187.84 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
29 |
29 |
$181.26 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$169.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
110 |
70 |
$155.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
55 |
41 |
$105.52 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
29 |
29 |
$56.97 |