| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52,220 |
22,077 |
$590K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,343 |
16,789 |
$344K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,421 |
14,220 |
$308K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,104 |
10,085 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,967 |
11,363 |
$238K |
| 99000 |
|
80,194 |
45,541 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,344 |
3,340 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,121 |
1,864 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,028 |
1,977 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,725 |
2,649 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
438 |
427 |
$7K |
| 0004A |
|
296 |
280 |
$6K |
| 99215 |
Prolong outpt/office vis |
134 |
134 |
$6K |
| 0124A |
|
173 |
166 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,524 |
1,465 |
$5K |
| 0134A |
|
146 |
135 |
$4K |
| 0064A |
|
159 |
148 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,806 |
2,766 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,867 |
929 |
$2K |
| 81003 |
|
3,154 |
3,036 |
$1K |
| 0071A |
|
61 |
58 |
$900.00 |
| 99201 |
|
15 |
14 |
$760.80 |
| 0072A |
|
47 |
43 |
$622.00 |
| 99051 |
|
1,261 |
1,213 |
$448.88 |
| 71046 |
Radiologic examination, chest; 2 views |
69 |
62 |
$355.80 |
| 94760 |
|
492 |
481 |
$182.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
170 |
165 |
$157.44 |
| 36415 |
Collection of venous blood by venipuncture |
487 |
479 |
$138.18 |
| 81025 |
|
92 |
91 |
$99.57 |
| 86756 |
|
34 |
34 |
$43.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
42 |
$42.63 |
| 91300 |
|
47 |
46 |
$39.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
33 |
$34.74 |
| 87807 |
|
76 |
75 |
$25.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
29 |
$1.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
28 |
$0.18 |
| 81002 |
|
14 |
14 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
38 |
38 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |