| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,952 |
6,061 |
$455K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,823 |
4,807 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,758 |
4,338 |
$240K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,440 |
4,919 |
$167K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,567 |
2,521 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,583 |
1,301 |
$55K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,211 |
1,211 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,875 |
2,819 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,493 |
2,259 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,051 |
973 |
$19K |
| 99000 |
|
2,441 |
2,259 |
$11K |
| 81025 |
|
854 |
832 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
974 |
862 |
$5K |
| 81002 |
|
1,836 |
1,753 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
235 |
227 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
419 |
338 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
62 |
54 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
158 |
141 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,084 |
996 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 94060 |
|
43 |
39 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
743 |
607 |
$962.46 |
| 36415 |
Collection of venous blood by venipuncture |
462 |
442 |
$721.85 |
| 86308 |
|
110 |
109 |
$440.10 |
| 69210 |
|
15 |
15 |
$413.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$212.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$5.98 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
73 |
54 |
$0.20 |
| 36000 |
|
14 |
13 |
$0.00 |
| 3074F |
|
25 |
12 |
$0.00 |
| 3078F |
|
19 |
14 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
15 |
14 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |