| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,644 |
2,702 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
663 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
162 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
103 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,781 |
977 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
156 |
73 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
300 |
291 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,105 |
1,002 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
124 |
$6K |
| 99307 |
|
1,080 |
735 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,996 |
1,722 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
98 |
50 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
209 |
42 |
$2K |
| 96367 |
|
50 |
24 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
29 |
27 |
$948.38 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
12 |
$579.84 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
880 |
752 |
$462.75 |
| 99305 |
|
13 |
13 |
$130.68 |
| J7050 |
Infusion, normal saline solution, 250 cc |
100 |
50 |
$29.37 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
27 |
12 |
$24.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
12 |
$5.59 |
| 99072 |
|
258 |
159 |
$5.00 |
| 99000 |
|
203 |
190 |
$0.00 |
| 99080 |
|
81 |
28 |
$0.00 |