| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197,185 |
180,120 |
$12.96M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31,063 |
30,936 |
$2.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,656 |
50,732 |
$2.54M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15,978 |
15,540 |
$1.66M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,221 |
25,054 |
$1.55M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44,087 |
40,911 |
$1.44M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25,274 |
21,654 |
$562K |
| 99215 |
Prolong outpt/office vis |
5,162 |
5,108 |
$492K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34,851 |
34,058 |
$436K |
| 99051 |
|
46,484 |
43,544 |
$402K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,841 |
1,835 |
$278K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22,654 |
21,791 |
$195K |
| 99000 |
|
22,567 |
21,772 |
$172K |
| 81025 |
|
24,018 |
23,093 |
$153K |
| 99205 |
Prolong outpt/office vis |
1,247 |
1,241 |
$149K |
| 71046 |
Radiologic examination, chest; 2 views |
7,035 |
6,875 |
$114K |
| 81002 |
|
33,358 |
32,088 |
$82K |
| 73630 |
|
4,466 |
4,386 |
$76K |
| 73610 |
|
4,102 |
4,033 |
$76K |
| 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 |
406 |
398 |
$69K |
| 10060 |
|
927 |
913 |
$60K |
| 73130 |
|
3,115 |
3,051 |
$57K |
| 99443 |
|
724 |
675 |
$54K |
| 12001 |
|
1,052 |
1,041 |
$51K |
| 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 |
1,076 |
1,075 |
$51K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
7,072 |
6,839 |
$50K |
| 90714 |
|
2,161 |
2,140 |
$43K |
| 73110 |
|
2,006 |
1,971 |
$40K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
618 |
615 |
$36K |
| 87807 |
|
4,525 |
4,456 |
$35K |
| 0001A |
|
915 |
912 |
$32K |
| 73140 |
|
1,710 |
1,686 |
$32K |
| 93000 |
|
3,990 |
3,925 |
$31K |
| 73562 |
|
1,567 |
1,547 |
$31K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
5,912 |
5,697 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,418 |
3,393 |
$31K |
| 29130 |
|
1,488 |
1,468 |
$30K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,598 |
1,584 |
$30K |
| 0002A |
|
781 |
780 |
$29K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
1,090 |
1,081 |
$28K |
| 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 |
169 |
167 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
550 |
547 |
$24K |
| 73030 |
|
1,374 |
1,349 |
$23K |
| 74019 |
|
1,093 |
1,078 |
$20K |
| 69209 |
|
2,293 |
2,264 |
$19K |
| 74018 |
|
1,222 |
1,205 |
$18K |
| 29125 |
|
702 |
682 |
$17K |
| 73564 |
|
729 |
719 |
$17K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,346 |
9,984 |
$16K |
| L3260 |
Surgical boot/shoe, each |
555 |
551 |
$13K |
| 90674 |
|
572 |
569 |
$13K |
| 73080 |
|
763 |
751 |
$12K |
| 86318 |
|
984 |
980 |
$12K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
721 |
716 |
$11K |
| 72100 |
|
451 |
444 |
$9K |
| 99459 |
|
907 |
886 |
$8K |
| 86308 |
|
1,959 |
1,937 |
$8K |
| 82962 |
|
3,361 |
3,289 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
296 |
$7K |
| 0004A |
|
194 |
194 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,935 |
4,810 |
$7K |
| 0071A |
|
210 |
209 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,016 |
1,983 |
$6K |
| 0072A |
|
163 |
162 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,069 |
4,929 |
$5K |
| 12011 |
|
77 |
75 |
$4K |
| 0051A |
|
116 |
116 |
$4K |
| 0054A |
|
90 |
90 |
$3K |
| 71101 |
|
150 |
148 |
$3K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
526 |
502 |
$3K |
| 90686 |
|
203 |
202 |
$3K |
| 0052A |
|
82 |
82 |
$3K |
| 90688 |
|
273 |
270 |
$3K |
| Q4049 |
Finger splint, static |
1,758 |
1,737 |
$2K |
| 15853 |
|
377 |
365 |
$2K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
615 |
599 |
$2K |
| 12002 |
|
30 |
29 |
$2K |
| 72040 |
|
90 |
89 |
$2K |
| 73090 |
|
113 |
109 |
$2K |
| 10120 |
|
16 |
16 |
$1K |
| 99442 |
|
27 |
26 |
$1K |
| 73660 |
|
81 |
81 |
$1K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
18 |
17 |
$1K |
| 90756 |
|
101 |
100 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
115 |
$1K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
14 |
14 |
$819.18 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
38 |
38 |
$819.17 |
| 0003A |
|
21 |
21 |
$794.85 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
727 |
723 |
$634.80 |
| 73590 |
|
40 |
38 |
$613.75 |
| 73502 |
|
25 |
25 |
$592.48 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
117 |
115 |
$452.76 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
43 |
40 |
$296.58 |
| 73000 |
|
12 |
12 |
$199.70 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
60 |
60 |
$183.36 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
102 |
99 |
$88.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
67 |
$55.01 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
3,419 |
3,288 |
$20.26 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
5,196 |
5,008 |
$14.57 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
25 |
$2.88 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
502 |
476 |
$2.22 |
| A4565 |
Slings |
1,211 |
1,192 |
$1.73 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
8,603 |
8,502 |
$1.00 |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
2,003 |
1,991 |
$0.00 |
| 91305 |
|
167 |
159 |
$0.00 |
| 99070 |
|
98 |
93 |
$0.00 |
| 91307 |
|
225 |
196 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
3,750 |
3,717 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
298 |
297 |
$0.00 |
| 97602 |
|
79 |
79 |
$0.00 |
| 91300 |
|
186 |
176 |
$0.00 |
| A9273 |
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type |
421 |
418 |
$0.00 |
| 99173 |
|
469 |
455 |
$0.00 |
| 99072 |
|
2,165 |
2,117 |
$0.00 |
| A4550 |
Surgical trays |
102 |
100 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$0.00 |