| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,554 |
18,967 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,544 |
6,209 |
$473K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,066 |
7,054 |
$462K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,968 |
2,960 |
$273K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,842 |
7,523 |
$242K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,993 |
3,239 |
$80K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,852 |
5,465 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,189 |
2,152 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
495 |
461 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
295 |
294 |
$13K |
| 81025 |
|
1,767 |
1,691 |
$11K |
| 73130 |
|
373 |
359 |
$8K |
| 73630 |
|
363 |
354 |
$7K |
| 73610 |
|
280 |
276 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
262 |
257 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,013 |
4,727 |
$5K |
| 81003 |
|
2,650 |
2,527 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,037 |
1,872 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
331 |
318 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 73110 |
|
43 |
41 |
$858.22 |
| 73562 |
|
38 |
37 |
$828.45 |
| 29130 |
|
14 |
13 |
$254.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
83 |
79 |
$95.17 |
| 93000 |
|
13 |
12 |
$79.70 |
| 86308 |
|
27 |
26 |
$68.77 |
| 99000 |
|
14 |
12 |
$53.88 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
409 |
405 |
$53.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
88 |
85 |
$0.14 |
| 99051 |
|
340 |
318 |
$0.00 |