| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58,382 |
54,486 |
$5.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,927 |
51,673 |
$4.58M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,665 |
19,466 |
$1.80M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,892 |
9,309 |
$936K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25,531 |
21,189 |
$338K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
21,514 |
19,818 |
$189K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50,395 |
22,048 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,280 |
5,071 |
$80K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,052 |
3,137 |
$71K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
564 |
545 |
$54K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,171 |
1,061 |
$49K |
| 99051 |
|
22,736 |
20,104 |
$47K |
| 99215 |
Prolong outpt/office vis |
424 |
405 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,945 |
12,894 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,751 |
11,626 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
2,776 |
2,457 |
$11K |
| 81025 |
|
6,319 |
5,661 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
57 |
$6K |
| 81003 |
|
11,696 |
9,984 |
$5K |
| 87807 |
|
1,479 |
1,334 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
46 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
134 |
125 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,057 |
6,055 |
$2K |
| 73610 |
|
294 |
266 |
$705.60 |
| 73630 |
|
251 |
247 |
$568.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,191 |
1,612 |
$566.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
370 |
330 |
$513.97 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
86 |
76 |
$445.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
436 |
376 |
$81.60 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
803 |
730 |
$6.07 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
298 |
159 |
$1.62 |
| A9150 |
Non-prescription drugs |
2,601 |
2,214 |
$0.92 |
| 73130 |
|
41 |
37 |
$0.00 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
13 |
12 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |
| 72100 |
|
14 |
14 |
$0.00 |
| 99000 |
|
738 |
674 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
258 |
129 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
94 |
28 |
$0.00 |
| 73560 |
|
30 |
30 |
$0.00 |