| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,419 |
19,627 |
$742K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,043 |
27,878 |
$632K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,515 |
9,369 |
$493K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,241 |
8,863 |
$286K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,447 |
2,265 |
$87K |
| 13121 |
|
447 |
446 |
$50K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,616 |
4,527 |
$41K |
| 13132 |
|
177 |
176 |
$20K |
| 10061 |
|
470 |
469 |
$18K |
| 26011 |
|
226 |
226 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,102 |
1,066 |
$15K |
| 29515 |
|
341 |
341 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,722 |
2,683 |
$11K |
| 69205 |
|
201 |
201 |
$10K |
| 29505 |
|
201 |
201 |
$8K |
| 73610 |
|
851 |
425 |
$7K |
| 29105 |
|
176 |
176 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
387 |
385 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,010 |
1,002 |
$5K |
| 73562 |
|
537 |
268 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
683 |
678 |
$3K |
| 11765 |
|
77 |
77 |
$3K |
| 73110 |
|
361 |
183 |
$2K |
| 81000 |
|
1,496 |
1,487 |
$2K |
| 65220 |
|
12 |
12 |
$2K |
| 57135 |
|
16 |
16 |
$1K |
| 10081 |
|
25 |
25 |
$1K |
| 76870 |
|
74 |
37 |
$1K |
| 56420 |
|
26 |
26 |
$879.62 |
| 65205 |
|
14 |
14 |
$779.24 |
| 10121 |
|
12 |
12 |
$751.28 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
146 |
145 |
$716.79 |
| 76770 |
|
30 |
15 |
$640.11 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
117 |
117 |
$623.43 |
| 20005 |
|
35 |
35 |
$599.79 |
| 42700 |
|
24 |
24 |
$510.79 |
| 30300 |
|
23 |
22 |
$505.98 |
| 93000 |
|
27 |
27 |
$417.13 |
| 29125 |
|
13 |
13 |
$370.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
683 |
678 |
$235.67 |
| 73030 |
|
26 |
13 |
$188.78 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
665 |
659 |
$181.04 |
| 11720 |
|
17 |
17 |
$138.11 |
| 73070 |
|
26 |
13 |
$107.22 |
| 73120 |
|
30 |
15 |
$103.80 |
| 11730 |
|
25 |
25 |
$96.06 |
| 29130 |
|
13 |
13 |
$89.36 |
| S9083 |
Global fee urgent care centers |
14 |
14 |
$20.00 |