| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,420 |
50,752 |
$5.17M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28,428 |
27,974 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,125 |
21,810 |
$2.20M |
| S9083 |
Global fee urgent care centers |
11,864 |
10,840 |
$1.40M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,683 |
10,712 |
$1.07M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
9,013 |
8,849 |
$826K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,367 |
3,192 |
$293K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,220 |
3,027 |
$78K |
| 99215 |
Prolong outpt/office vis |
216 |
208 |
$19K |
| 99201 |
|
198 |
198 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
626 |
609 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
559 |
518 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
382 |
$5K |
| 0011A |
|
276 |
273 |
$4K |
| 0012A |
|
125 |
125 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,596 |
6,503 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,659 |
3,344 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
782 |
$2K |
| 81003 |
|
3,272 |
3,217 |
$1K |
| 90714 |
|
101 |
101 |
$872.48 |
| 90674 |
|
37 |
37 |
$553.28 |
| 81025 |
|
1,480 |
1,470 |
$549.00 |
| 73610 |
|
468 |
466 |
$297.70 |
| 71046 |
Radiologic examination, chest; 2 views |
507 |
504 |
$293.76 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$276.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
378 |
374 |
$253.60 |
| 12001 |
|
12 |
12 |
$205.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
214 |
212 |
$183.00 |
| 73630 |
|
390 |
389 |
$153.32 |
| 93000 |
|
424 |
423 |
$146.00 |
| 73130 |
|
268 |
267 |
$103.00 |
| Q4049 |
Finger splint, static |
243 |
241 |
$96.00 |
| 73140 |
|
251 |
250 |
$92.00 |
| 73110 |
|
128 |
128 |
$58.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
67 |
67 |
$41.23 |
| 73562 |
|
91 |
91 |
$32.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
71 |
$21.00 |
| 81002 |
|
47 |
47 |
$15.00 |
| 82947 |
|
42 |
41 |
$12.00 |
| 91301 |
|
145 |
143 |
$12.00 |
| 73030 |
|
26 |
26 |
$10.00 |
| 86308 |
|
24 |
24 |
$8.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
16 |
16 |
$3.00 |
| 99051 |
|
40 |
40 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
35 |
35 |
$0.00 |