| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,020 |
9,014 |
$844K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,889 |
4,431 |
$514K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,998 |
6,024 |
$388K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,714 |
4,950 |
$366K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,406 |
6,252 |
$189K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,000 |
4,530 |
$122K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,875 |
5,440 |
$80K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,254 |
1,142 |
$50K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
523 |
457 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
570 |
483 |
$20K |
| 99215 |
Prolong outpt/office vis |
65 |
63 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
489 |
452 |
$7K |
| 87807 |
|
137 |
126 |
$2K |
| 81002 |
|
340 |
322 |
$965.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
100 |
88 |
$705.23 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$441.99 |
| 73610 |
|
13 |
12 |
$324.69 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
139 |
108 |
$180.00 |
| 81025 |
|
26 |
26 |
$177.30 |
| 86308 |
|
12 |
12 |
$63.64 |
| 99051 |
|
76 |
54 |
$29.70 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
78 |
68 |
$13.24 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
41 |
38 |
$6.45 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
19 |
19 |
$1.57 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
28 |
27 |
$0.00 |