| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,778 |
16,064 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,733 |
11,695 |
$667K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,167 |
6,717 |
$603K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,644 |
7,633 |
$354K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,313 |
4,964 |
$284K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,522 |
6,646 |
$239K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,337 |
5,278 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,554 |
3,246 |
$89K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,128 |
969 |
$58K |
| 99000 |
|
2,472 |
1,845 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
487 |
384 |
$40K |
| 87808 |
|
2,130 |
1,595 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
967 |
849 |
$32K |
| 99215 |
Prolong outpt/office vis |
505 |
386 |
$30K |
| 81025 |
|
6,175 |
4,565 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
674 |
574 |
$22K |
| 87905 |
|
2,108 |
1,611 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,771 |
1,300 |
$17K |
| 81002 |
|
6,786 |
5,162 |
$17K |
| 93000 |
|
766 |
605 |
$16K |
| 99205 |
Prolong outpt/office vis |
121 |
112 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
208 |
176 |
$11K |
| 99385 |
|
98 |
83 |
$10K |
| 87807 |
|
971 |
879 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
498 |
425 |
$8K |
| 86318 |
|
486 |
373 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
80 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
44 |
$4K |
| 99384 |
|
47 |
41 |
$4K |
| 90715 |
|
144 |
95 |
$3K |
| 99383 |
|
33 |
31 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
160 |
117 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,298 |
2,486 |
$2K |
| 90756 |
|
137 |
127 |
$1K |
| 73630 |
|
68 |
55 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$1K |
| 99382 |
|
12 |
12 |
$984.30 |
| 73610 |
|
37 |
29 |
$947.96 |
| 72100 |
|
34 |
28 |
$947.10 |
| 86580 |
|
192 |
143 |
$813.54 |
| 83655 |
|
50 |
33 |
$593.00 |
| 90688 |
|
35 |
28 |
$583.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
313 |
220 |
$564.22 |
| 73130 |
|
29 |
13 |
$554.25 |
| 69210 |
|
21 |
19 |
$385.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
249 |
193 |
$243.83 |
| 82962 |
|
123 |
84 |
$213.32 |
| 36416 |
|
121 |
113 |
$200.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$153.98 |
| 86308 |
|
13 |
12 |
$62.40 |
| 94760 |
|
156 |
102 |
$48.40 |
| 99051 |
|
758 |
534 |
$7.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
35 |
18 |
$4.55 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
25 |
$3.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
801 |
565 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
113 |
$0.00 |