| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240,850 |
224,257 |
$19.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159,327 |
145,423 |
$11.45M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75,255 |
70,162 |
$6.06M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37,574 |
35,205 |
$3.44M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93,864 |
77,728 |
$1.43M |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
119,135 |
110,775 |
$1.23M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18,579 |
16,535 |
$1.17M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35,254 |
29,494 |
$1.07M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21,474 |
19,192 |
$558K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122,214 |
53,441 |
$473K |
| 99215 |
Prolong outpt/office vis |
4,369 |
4,186 |
$423K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,828 |
1,737 |
$164K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46,683 |
40,079 |
$143K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,043 |
5,995 |
$112K |
| 99051 |
|
54,419 |
47,272 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
905 |
822 |
$73K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21,591 |
19,157 |
$72K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
352 |
332 |
$31K |
| 87807 |
|
4,865 |
4,339 |
$12K |
| 81003 |
|
18,762 |
16,408 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
3,332 |
3,077 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12,860 |
11,496 |
$5K |
| 74018 |
|
193 |
187 |
$1K |
| 81025 |
|
4,291 |
4,009 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,694 |
1,515 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
312 |
199 |
$1K |
| 73630 |
|
1,286 |
1,232 |
$597.20 |
| 12001 |
|
26 |
25 |
$514.36 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
91 |
80 |
$423.22 |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
27 |
25 |
$190.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
140 |
$144.70 |
| 73610 |
|
1,303 |
1,240 |
$117.60 |
| 73560 |
|
92 |
90 |
$110.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
413 |
377 |
$86.00 |
| 73030 |
|
55 |
54 |
$86.00 |
| 73140 |
|
549 |
528 |
$68.48 |
| 73130 |
|
858 |
835 |
$58.80 |
| 86308 |
|
219 |
205 |
$54.00 |
| 72100 |
|
53 |
51 |
$40.40 |
| 73110 |
|
416 |
403 |
$20.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,166 |
907 |
$15.20 |
| 93000 |
|
241 |
226 |
$13.72 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
163 |
148 |
$12.16 |
| 99000 |
|
2,003 |
1,831 |
$12.00 |
| 82962 |
|
946 |
895 |
$8.10 |
| A9150 |
Non-prescription drugs |
8,067 |
6,945 |
$5.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,713 |
1,530 |
$1.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,257 |
1,084 |
$0.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
932 |
771 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
174 |
155 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
1,298 |
1,196 |
$0.00 |
| Q4049 |
Finger splint, static |
91 |
80 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
269 |
209 |
$0.00 |
| 72040 |
|
26 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
34 |
31 |
$0.00 |
| 73660 |
|
13 |
13 |
$0.00 |
| 74019 |
|
14 |
14 |
$0.00 |
| 73564 |
|
14 |
14 |
$0.00 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
423 |
386 |
$0.00 |
| 10061 |
|
13 |
13 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
545 |
516 |
$0.00 |
| 90715 |
|
37 |
36 |
$0.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
41 |
41 |
$0.00 |
| 69209 |
|
26 |
26 |
$0.00 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
12 |
12 |
$0.00 |
| L3260 |
Surgical boot/shoe, each |
13 |
13 |
$0.00 |
| 86318 |
|
14 |
13 |
$0.00 |