| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,419 |
68,208 |
$4.41M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38,381 |
38,219 |
$2.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,060 |
30,565 |
$1.57M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15,693 |
15,186 |
$469K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,452 |
4,441 |
$411K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,024 |
21,672 |
$247K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,462 |
4,456 |
$214K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,545 |
8,020 |
$167K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,512 |
9,240 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,841 |
1,804 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
3,562 |
3,432 |
$50K |
| 81025 |
|
6,140 |
6,035 |
$35K |
| 73610 |
|
1,901 |
1,878 |
$30K |
| 73630 |
|
1,987 |
1,967 |
$30K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,268 |
3,042 |
$30K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
1,175 |
1,168 |
$28K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
513 |
507 |
$27K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
762 |
760 |
$26K |
| 10060 |
|
439 |
431 |
$25K |
| 73130 |
|
1,484 |
1,469 |
$23K |
| 81003 |
|
12,635 |
12,374 |
$21K |
| 12001 |
|
476 |
475 |
$20K |
| 73110 |
|
1,103 |
1,090 |
$19K |
| 73562 |
|
1,068 |
1,061 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
204 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
165 |
$15K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,564 |
2,498 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,515 |
1,503 |
$13K |
| 29125 |
|
451 |
444 |
$13K |
| 73140 |
|
795 |
787 |
$13K |
| 93000 |
|
1,213 |
1,198 |
$9K |
| 90674 |
|
578 |
576 |
$9K |
| 73030 |
|
481 |
478 |
$7K |
| 90715 |
|
228 |
228 |
$7K |
| L3260 |
Surgical boot/shoe, each |
161 |
159 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,826 |
3,730 |
$6K |
| 73080 |
|
306 |
297 |
$4K |
| 74018 |
|
246 |
238 |
$3K |
| 86308 |
|
745 |
742 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,501 |
2,456 |
$3K |
| 29515 |
|
171 |
171 |
$3K |
| 99201 |
|
54 |
54 |
$2K |
| 82947 |
|
875 |
860 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$2K |
| 71101 |
|
80 |
80 |
$1K |
| 90714 |
|
51 |
51 |
$1K |
| 72100 |
|
60 |
60 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,156 |
1,138 |
$1K |
| Q4049 |
Finger splint, static |
733 |
730 |
$930.87 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
108 |
108 |
$797.96 |
| 74022 |
|
25 |
25 |
$524.16 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
2,335 |
2,309 |
$395.64 |
| 73590 |
|
24 |
24 |
$325.29 |
| 73090 |
|
13 |
12 |
$144.60 |
| 69209 |
|
13 |
13 |
$134.64 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$51.30 |
| A4565 |
Slings |
601 |
589 |
$47.41 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
27 |
25 |
$14.16 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
29 |
27 |
$8.67 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
332 |
325 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
119 |
118 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
791 |
745 |
$0.00 |