| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,547 |
5,304 |
$407K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,382 |
3,297 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,819 |
3,636 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
908 |
889 |
$110K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
699 |
664 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
210 |
206 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
211 |
207 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
273 |
265 |
$15K |
| 87428 |
|
248 |
242 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
873 |
844 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
188 |
$8K |
| 87481 |
|
28 |
27 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
490 |
238 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
334 |
285 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
28 |
27 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
158 |
155 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
133 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
30 |
29 |
$2K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
13 |
13 |
$1K |
| 81002 |
|
439 |
418 |
$964.24 |
| 73610 |
|
52 |
52 |
$903.48 |
| 81003 |
|
453 |
441 |
$724.55 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$616.83 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$578.52 |
| 86803 |
|
12 |
12 |
$468.42 |
| 86780 |
|
12 |
12 |
$411.22 |
| 87088 |
|
16 |
16 |
$282.79 |
| 72040 |
|
12 |
12 |
$272.76 |
| 81025 |
|
15 |
14 |
$85.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
13 |
$39.04 |