| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,005 |
5,641 |
$440K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,604 |
6,106 |
$358K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,144 |
3,137 |
$208K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,627 |
1,624 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,654 |
4,435 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,333 |
2,628 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,205 |
2,165 |
$28K |
| 81025 |
|
3,663 |
3,440 |
$25K |
| 99215 |
Prolong outpt/office vis |
227 |
225 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
893 |
868 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,812 |
1,762 |
$17K |
| 81002 |
|
4,967 |
4,691 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,497 |
1,449 |
$6K |
| 73130 |
|
182 |
175 |
$4K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
519 |
504 |
$3K |
| 73630 |
|
140 |
135 |
$3K |
| 73562 |
|
109 |
104 |
$3K |
| 73610 |
|
109 |
109 |
$2K |
| 99459 |
|
145 |
144 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
698 |
684 |
$2K |
| 29540 |
|
90 |
89 |
$1K |
| 93000 |
|
151 |
151 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
585 |
577 |
$945.05 |
| 73030 |
|
40 |
40 |
$825.28 |
| 99000 |
|
1,313 |
1,269 |
$760.34 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
112 |
108 |
$663.25 |
| 87807 |
|
73 |
73 |
$556.65 |
| 29130 |
|
24 |
24 |
$521.22 |
| 72100 |
|
26 |
26 |
$517.07 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
47 |
45 |
$389.44 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
40 |
40 |
$363.24 |
| 74019 |
|
25 |
25 |
$351.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
161 |
$321.63 |
| 72040 |
|
13 |
13 |
$304.20 |
| 82962 |
|
58 |
57 |
$159.05 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
13 |
13 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
87 |
85 |
$0.00 |