| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,138 |
7,075 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,470 |
4,864 |
$395K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,873 |
7,055 |
$191K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,188 |
2,183 |
$143K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
863 |
863 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,896 |
2,321 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,588 |
2,475 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,305 |
2,097 |
$19K |
| 99000 |
|
3,842 |
3,473 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
509 |
503 |
$7K |
| 81025 |
|
1,238 |
1,169 |
$7K |
| 81002 |
|
1,761 |
1,656 |
$4K |
| 87807 |
|
509 |
489 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
727 |
677 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
991 |
891 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,177 |
1,113 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
298 |
284 |
$1K |
| 73630 |
|
13 |
13 |
$197.46 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
538 |
500 |
$149.63 |
| 99406 |
|
15 |
13 |
$61.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$10.42 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$5.94 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$2.40 |