| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517,359 |
470,375 |
$56.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161,951 |
147,242 |
$14.87M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88,457 |
82,155 |
$10.40M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
193,769 |
179,243 |
$5.69M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51,003 |
47,776 |
$4.88M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132,450 |
121,959 |
$4.11M |
| S9083 |
Global fee urgent care centers |
24,249 |
20,797 |
$2.63M |
| 99215 |
Prolong outpt/office vis |
14,560 |
13,475 |
$1.76M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189,751 |
86,559 |
$986K |
| 87400 |
|
76,912 |
44,974 |
$809K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
22,601 |
19,267 |
$789K |
| 86328 |
|
17,766 |
16,763 |
$610K |
| 87428 |
|
19,210 |
17,885 |
$540K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77,948 |
71,128 |
$527K |
| 99205 |
Prolong outpt/office vis |
3,288 |
3,039 |
$403K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,453 |
2,279 |
$254K |
| 94010 |
|
20,133 |
16,562 |
$253K |
| 81025 |
|
71,614 |
65,694 |
$239K |
| 71046 |
Radiologic examination, chest; 2 views |
14,316 |
13,142 |
$153K |
| 81003 |
|
90,083 |
82,057 |
$142K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,465 |
2,308 |
$133K |
| 82570 |
|
44,995 |
41,262 |
$103K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
634 |
625 |
$77K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
628 |
602 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,820 |
5,061 |
$33K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,262 |
2,211 |
$30K |
| 93000 |
|
3,572 |
3,311 |
$28K |
| 73630 |
|
2,486 |
2,281 |
$23K |
| 87807 |
|
3,306 |
3,043 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
11,543 |
11,180 |
$22K |
| 73562 |
|
2,183 |
1,973 |
$21K |
| 29125 |
|
656 |
625 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
830 |
815 |
$15K |
| 73610 |
|
2,279 |
2,146 |
$15K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
206 |
188 |
$12K |
| 73130 |
|
1,284 |
1,200 |
$11K |
| 99173 |
|
2,444 |
2,306 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,578 |
1,390 |
$8K |
| 87634 |
|
514 |
497 |
$8K |
| 73030 |
|
924 |
881 |
$8K |
| A4620 |
Variable concentration mask |
1,259 |
1,166 |
$7K |
| A4565 |
Slings |
835 |
798 |
$6K |
| 99459 |
|
280 |
264 |
$6K |
| 73110 |
|
939 |
867 |
$5K |
| 73140 |
|
784 |
740 |
$5K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
228 |
212 |
$5K |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
1,696 |
1,565 |
$5K |
| 82962 |
|
679 |
632 |
$5K |
| 69209 |
|
263 |
247 |
$4K |
| 10060 |
|
42 |
40 |
$4K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
140 |
138 |
$3K |
| 29130 |
|
111 |
108 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
136 |
$2K |
| 94060 |
|
215 |
202 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
97 |
94 |
$2K |
| A4550 |
Surgical trays |
585 |
551 |
$2K |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
168 |
166 |
$1K |
| 73080 |
|
237 |
221 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
134 |
122 |
$1K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
37 |
32 |
$971.36 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,622 |
1,398 |
$731.49 |
| 99001 |
|
76 |
73 |
$695.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
63 |
55 |
$485.75 |
| L3260 |
Surgical boot/shoe, each |
98 |
95 |
$443.89 |
| 72100 |
|
111 |
106 |
$406.53 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
641 |
602 |
$324.77 |
| 73660 |
|
50 |
49 |
$295.22 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,556 |
1,333 |
$293.79 |
| 71101 |
|
71 |
66 |
$289.25 |
| 73590 |
|
27 |
25 |
$210.79 |
| 86308 |
|
64 |
63 |
$109.97 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
32 |
30 |
$88.79 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
408 |
393 |
$71.41 |
| A4615 |
Cannula, nasal |
1,248 |
1,154 |
$71.31 |
| 72040 |
|
13 |
13 |
$56.15 |
| Q4049 |
Finger splint, static |
27 |
27 |
$37.64 |
| 73090 |
|
17 |
15 |
$37.05 |
| 90715 |
|
28 |
28 |
$34.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
361 |
342 |
$33.91 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
49 |
43 |
$31.74 |
| 99000 |
|
68 |
65 |
$30.00 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$1.50 |
| A4566 |
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment |
43 |
43 |
$0.00 |