| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101,784 |
99,046 |
$6.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,995 |
54,309 |
$4.99M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34,653 |
34,641 |
$2.85M |
| 99051 |
|
77,295 |
75,668 |
$576K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27,770 |
27,313 |
$298K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,649 |
2,636 |
$275K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,639 |
3,638 |
$190K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,366 |
3,335 |
$126K |
| 81025 |
|
6,935 |
6,804 |
$37K |
| 12001 |
|
533 |
532 |
$35K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
662 |
662 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
872 |
868 |
$20K |
| 73610 |
|
762 |
761 |
$17K |
| 81003 |
|
9,021 |
8,857 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,402 |
1,370 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,116 |
1,093 |
$12K |
| 73140 |
|
497 |
494 |
$11K |
| 73630 |
|
459 |
458 |
$10K |
| 90715 |
|
243 |
243 |
$8K |
| 93000 |
|
615 |
611 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
105 |
105 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
230 |
$5K |
| 73130 |
|
221 |
220 |
$5K |
| 73110 |
|
150 |
150 |
$4K |
| 29515 |
|
78 |
78 |
$4K |
| 10060 |
|
36 |
36 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
121 |
$2K |
| 69210 |
|
49 |
49 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$1K |
| L3260 |
Surgical boot/shoe, each |
63 |
63 |
$1K |
| 29125 |
|
26 |
26 |
$987.74 |
| A4565 |
Slings |
108 |
108 |
$652.66 |
| Q4049 |
Finger splint, static |
301 |
301 |
$452.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
544 |
541 |
$270.72 |
| 73560 |
|
12 |
12 |
$235.32 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
328 |
327 |
$212.83 |
| Q4046 |
Cast supplies, short leg splint, adult (11 years +), fiberglass |
12 |
12 |
$156.72 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
410 |
403 |
$63.74 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
50 |
50 |
$61.91 |
| 81002 |
|
29 |
29 |
$58.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
751 |
735 |
$32.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$17.00 |
| 3008F |
|
1,069 |
1,060 |
$0.00 |
| 3074F |
|
561 |
554 |
$0.00 |
| 1125F |
|
532 |
528 |
$0.00 |
| 2000F |
|
864 |
855 |
$0.00 |
| 3075F |
|
41 |
41 |
$0.00 |
| 1000F |
|
324 |
318 |
$0.00 |
| 1036F |
|
178 |
174 |
$0.00 |
| 3079F |
|
87 |
86 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| 3078F |
|
430 |
426 |
$0.00 |
| 1159F |
|
1,336 |
1,324 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |