| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,731 |
6,691 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,549 |
7,289 |
$205K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
876 |
876 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,357 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,322 |
1,282 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,368 |
1,856 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
695 |
683 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,029 |
973 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,556 |
2,519 |
$16K |
| 99417 |
Prolong home eval add 15m |
280 |
268 |
$14K |
| 99406 |
|
652 |
584 |
$6K |
| 99354 |
|
100 |
98 |
$5K |
| 81002 |
|
1,897 |
1,792 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
205 |
197 |
$3K |
| 87807 |
|
323 |
315 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
51 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
142 |
138 |
$1K |
| 81025 |
|
392 |
376 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
46 |
$585.45 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
42 |
$307.04 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
26 |
25 |
$249.25 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
14 |
$144.90 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,843 |
2,443 |
$86.73 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
12 |
12 |
$77.96 |
| 87081 |
|
12 |
12 |
$67.59 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
71 |
68 |
$2.39 |