| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,432 |
2,716 |
$165K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,867 |
3,342 |
$117K |
| 99233 |
Prolong inpt eval add15 m |
4,364 |
1,503 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,829 |
1,993 |
$74K |
| 99223 |
Prolong inpt eval add15 m |
916 |
840 |
$46K |
| 99222 |
Initial hospital care, per day, moderate complexity |
423 |
329 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
226 |
205 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
340 |
224 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
36 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
69 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
79 |
77 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
361 |
240 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
100 |
24 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
136 |
96 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
330 |
216 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
66 |
$695.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$668.33 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
45 |
$655.11 |
| 99443 |
|
21 |
12 |
$471.09 |
| 99460 |
|
18 |
16 |
$400.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$342.81 |
| 36415 |
Collection of venous blood by venipuncture |
481 |
296 |
$333.60 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
19 |
$264.00 |
| 94664 |
|
45 |
41 |
$136.00 |
| 99221 |
|
33 |
16 |
$98.00 |
| 81002 |
|
70 |
39 |
$87.35 |
| 96127 |
|
54 |
36 |
$42.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
27 |
$37.14 |
| 3078F |
|
2,212 |
1,671 |
$0.00 |
| 3725F |
|
1,944 |
1,511 |
$0.00 |
| 1159F |
|
1,018 |
860 |
$0.00 |
| 1160F |
|
1,326 |
1,111 |
$0.00 |
| 3077F |
|
33 |
25 |
$0.00 |
| 1036F |
|
4,881 |
3,499 |
$0.00 |
| 3074F |
|
3,189 |
2,451 |
$0.00 |
| 1126F |
|
3,274 |
2,460 |
$0.00 |
| 3008F |
|
9,236 |
6,970 |
$0.00 |
| 3075F |
|
58 |
51 |
$0.00 |
| 3079F |
|
584 |
430 |
$0.00 |
| 1125F |
|
464 |
350 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
13 |
$0.00 |
| 1034F |
|
121 |
91 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |