| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,514 |
62,319 |
$6.35M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,553 |
18,543 |
$1.72M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20,166 |
20,005 |
$769K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,845 |
12,751 |
$363K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,704 |
23,581 |
$340K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,133 |
6,098 |
$302K |
| 87400 |
|
10,777 |
10,726 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,230 |
2,209 |
$167K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
254 |
254 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
869 |
865 |
$12K |
| 87807 |
|
966 |
962 |
$11K |
| 0002A |
|
174 |
174 |
$7K |
| 0001A |
|
162 |
162 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
272 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
124 |
$3K |
| 90756 |
|
80 |
80 |
$1K |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$1K |
| 0071A |
|
20 |
20 |
$800.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
46 |
$625.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
498 |
498 |
$509.01 |
| 90686 |
|
76 |
76 |
$219.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$172.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
66 |
66 |
$129.38 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$122.07 |
| 81003 |
|
51 |
51 |
$100.00 |
| 86308 |
|
14 |
13 |
$73.64 |
| 90656 |
|
14 |
14 |
$62.79 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
66 |
66 |
$49.89 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$24.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$24.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$22.85 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
28 |
28 |
$5.59 |