| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,050 |
1,937 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,448 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
970 |
969 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
986 |
986 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,451 |
1,388 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,493 |
1,221 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
696 |
685 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
787 |
761 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
392 |
384 |
$6K |
| 81025 |
|
1,143 |
1,107 |
$6K |
| 81002 |
|
1,499 |
1,450 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 16020 |
|
42 |
41 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
414 |
405 |
$1K |
| 73130 |
|
55 |
54 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
205 |
$735.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
359 |
349 |
$645.18 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
218 |
214 |
$580.31 |
| 69210 |
|
19 |
13 |
$404.57 |
| 99459 |
|
37 |
37 |
$390.96 |
| 90715 |
|
13 |
13 |
$309.54 |
| 72100 |
|
16 |
16 |
$281.16 |
| 73630 |
|
16 |
16 |
$241.34 |
| 29540 |
|
15 |
15 |
$223.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$193.56 |
| 74018 |
|
13 |
13 |
$155.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
193 |
189 |
$116.54 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
141 |
138 |
$112.88 |
| 99000 |
|
1,259 |
1,224 |
$104.37 |
| 93000 |
|
12 |
12 |
$54.96 |
| 82962 |
|
26 |
24 |
$43.36 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
730 |
672 |
$0.07 |
| H0033 |
Oral medication administration, direct observation |
37 |
37 |
$0.00 |
| 97010 |
|
54 |
52 |
$0.00 |