| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,526 |
32,954 |
$2.21M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28,041 |
27,431 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,599 |
10,136 |
$697K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,892 |
8,016 |
$581K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56,513 |
53,083 |
$580K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,776 |
7,639 |
$486K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,987 |
6,858 |
$401K |
| S9083 |
Global fee urgent care centers |
4,452 |
3,995 |
$179K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,868 |
5,301 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,360 |
5,166 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
979 |
942 |
$10K |
| 87428 |
|
2,684 |
2,531 |
$10K |
| 81025 |
|
3,070 |
2,936 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
715 |
694 |
$4K |
| 90715 |
|
110 |
107 |
$3K |
| 93000 |
|
409 |
400 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,714 |
2,637 |
$2K |
| 90686 |
|
398 |
387 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
21 |
21 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
517 |
450 |
$2K |
| 73610 |
|
231 |
218 |
$1K |
| 73630 |
|
203 |
196 |
$960.72 |
| 73562 |
|
75 |
70 |
$532.74 |
| 81002 |
|
2,667 |
2,568 |
$471.59 |
| 90656 |
|
35 |
35 |
$429.88 |
| 69210 |
|
46 |
42 |
$353.76 |
| 29130 |
|
28 |
26 |
$326.34 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
12 |
12 |
$300.00 |
| 73140 |
|
74 |
69 |
$259.30 |
| 86580 |
|
228 |
216 |
$253.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
110 |
77 |
$185.04 |
| 81003 |
|
924 |
876 |
$149.29 |
| 73110 |
|
12 |
12 |
$131.64 |
| 73030 |
|
13 |
13 |
$123.00 |
| 73130 |
|
40 |
39 |
$70.60 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
123 |
121 |
$21.43 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
123 |
121 |
$21.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
29 |
$6.56 |
| 86308 |
|
28 |
28 |
$5.00 |
| 81001 |
|
14 |
14 |
$4.43 |
| 82962 |
|
43 |
39 |
$4.00 |
| 87088 |
|
98 |
98 |
$3.24 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
94 |
94 |
$3.22 |
| 87070 |
|
119 |
118 |
$3.08 |
| 3079F |
|
18 |
18 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
86 |
85 |
$0.00 |
| 87340 |
|
120 |
120 |
$0.00 |
| 86780 |
|
87 |
87 |
$0.00 |
| 99000 |
|
98 |
88 |
$0.00 |
| 3008F |
|
65 |
65 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
109 |
109 |
$0.00 |
| 1036F |
|
32 |
32 |
$0.00 |
| 3074F |
|
40 |
40 |
$0.00 |
| 86803 |
|
121 |
121 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| 3078F |
|
29 |
29 |
$0.00 |
| 87631 |
|
28 |
28 |
$0.00 |
| 1160F |
|
44 |
44 |
$0.00 |
| 87186 |
|
14 |
14 |
$0.00 |