| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,227 |
14,347 |
$1.97M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,313 |
4,852 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,578 |
5,438 |
$530K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,055 |
2,515 |
$491K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,715 |
362 |
$224K |
| 71046 |
Radiologic examination, chest; 2 views |
4,523 |
2,214 |
$91K |
| 86328 |
|
1,493 |
190 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,497 |
3,666 |
$61K |
| 99215 |
Prolong outpt/office vis |
391 |
357 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,763 |
1,408 |
$45K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,420 |
1,400 |
$39K |
| 81025 |
|
5,820 |
2,812 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,114 |
1,526 |
$34K |
| 74019 |
|
1,268 |
752 |
$29K |
| 81000 |
|
7,921 |
4,152 |
$24K |
| 80053 |
Comprehensive metabolic panel |
2,352 |
1,193 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,683 |
1,326 |
$19K |
| 73630 |
|
351 |
280 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
471 |
417 |
$6K |
| 73610 |
|
173 |
170 |
$4K |
| 73130 |
|
181 |
172 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
82 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
56 |
$2K |
| 73562 |
|
41 |
37 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
371 |
341 |
$647.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
35 |
$570.17 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
69 |
27 |
$437.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
257 |
233 |
$425.73 |
| 72100 |
|
15 |
15 |
$349.34 |
| 73110 |
|
13 |
13 |
$340.65 |
| 93000 |
|
24 |
24 |
$323.88 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
13 |
13 |
$278.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
107 |
94 |
$275.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$174.17 |
| 90756 |
|
12 |
12 |
$113.32 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
99 |
92 |
$59.84 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
265 |
242 |
$41.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
379 |
342 |
$37.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
266 |
250 |
$7.38 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
12 |
$3.12 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
131 |
130 |
$0.00 |