| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,892 |
33,418 |
$3.22M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,907 |
10,889 |
$999K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,581 |
6,335 |
$636K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,889 |
2,703 |
$245K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,733 |
1,716 |
$174K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
423 |
423 |
$36K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,433 |
2,346 |
$810.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,072 |
1,705 |
$7.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,370 |
1,360 |
$6.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,554 |
2,445 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,842 |
4,341 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,675 |
6,377 |
$0.00 |
| 87428 |
|
229 |
227 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,840 |
1,766 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
577 |
553 |
$0.00 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
103 |
99 |
$0.00 |
| 93000 |
|
70 |
68 |
$0.00 |
| 73560 |
|
46 |
44 |
$0.00 |
| 99000 |
|
32 |
32 |
$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 |
14 |
14 |
$0.00 |
| 81003 |
|
3,214 |
3,140 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
570 |
529 |
$0.00 |
| 81025 |
|
228 |
225 |
$0.00 |
| 87400 |
|
1,090 |
646 |
$0.00 |
| 81002 |
|
163 |
162 |
$0.00 |
| 86328 |
|
517 |
507 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
146 |
$0.00 |
| 69209 |
|
44 |
43 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
65 |
65 |
$0.00 |
| 82947 |
|
15 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
47 |
$0.00 |
| 73130 |
|
21 |
21 |
$0.00 |
| 73610 |
|
13 |
12 |
$0.00 |