| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,192 |
2,346 |
$408K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,651 |
6,985 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,641 |
2,481 |
$198K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
480 |
381 |
$42K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
154 |
124 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,273 |
1,202 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,420 |
1,328 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
382 |
367 |
$17K |
| D9999 |
Unspecified adjunctive procedure, by report |
16 |
16 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,098 |
884 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
250 |
220 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
396 |
379 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
415 |
412 |
$7K |
| 62323 |
|
51 |
34 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
83 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
279 |
252 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$4K |
| 80053 |
Comprehensive metabolic panel |
440 |
424 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
258 |
225 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
472 |
448 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
84 |
$2K |
| 96127 |
|
227 |
227 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
42 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
23 |
13 |
$912.03 |
| 36415 |
Collection of venous blood by venipuncture |
592 |
555 |
$881.75 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$765.95 |
| 87400 |
|
31 |
31 |
$716.49 |
| 87430 |
|
28 |
27 |
$418.60 |
| 80061 |
Lipid panel |
28 |
28 |
$333.48 |
| 83010 |
|
19 |
19 |
$242.63 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$194.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$155.52 |
| 81003 |
|
54 |
54 |
$106.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
41 |
40 |
$29.45 |
| 82962 |
|
14 |
14 |
$27.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
39 |
39 |
$19.20 |
| 90688 |
|
19 |
19 |
$19.17 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
33 |
33 |
$10.84 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
52 |
50 |
$6.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
27 |
$6.12 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.96 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
19 |
19 |
$0.88 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
28 |
28 |
$0.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
18 |
$0.12 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
56 |
55 |
$0.10 |
| J3490 |
Unclassified drugs |
19 |
19 |
$0.00 |
| 94761 |
|
25 |
25 |
$0.00 |