| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,079 |
8,818 |
$910K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,433 |
5,042 |
$400K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,096 |
2,884 |
$262K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,603 |
1,520 |
$213K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,591 |
2,190 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,155 |
3,876 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,173 |
1,130 |
$41K |
| 99215 |
Prolong outpt/office vis |
229 |
182 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
224 |
217 |
$15K |
| 87807 |
|
799 |
775 |
$8K |
| 99000 |
|
7,028 |
6,550 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
427 |
358 |
$6K |
| 81003 |
|
1,197 |
1,104 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
44 |
27 |
$973.26 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
41 |
24 |
$944.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
33 |
$549.37 |
| 81025 |
|
54 |
42 |
$305.49 |
| 94760 |
|
58 |
33 |
$93.08 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
43 |
26 |
$70.85 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
58 |
33 |
$49.15 |
| 36000 |
|
43 |
26 |
$36.98 |
| 99173 |
|
12 |
12 |
$13.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
57 |
32 |
$4.46 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
19 |
13 |
$1.44 |