| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,224 |
4,209 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,130 |
3,703 |
$113K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,399 |
1,341 |
$23K |
| 94760 |
|
8,136 |
7,296 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,366 |
1,298 |
$16K |
| 99401 |
|
7,696 |
6,907 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
277 |
$11K |
| 99417 |
Prolong home eval add 15m |
179 |
174 |
$7K |
| 99451 |
|
259 |
257 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
250 |
$4K |
| 97802 |
|
341 |
339 |
$4K |
| 99000 |
|
2,125 |
2,071 |
$3K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
818 |
755 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
338 |
329 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
673 |
652 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
608 |
604 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
415 |
411 |
$2K |
| 99406 |
|
100 |
98 |
$725.20 |
| 2010F |
|
7,632 |
6,848 |
$638.61 |
| 81003 |
|
574 |
558 |
$631.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
230 |
224 |
$607.50 |
| 94664 |
|
142 |
136 |
$508.79 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
45 |
$388.63 |
| 99051 |
|
188 |
183 |
$345.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
98 |
96 |
$344.09 |
| 69209 |
|
35 |
31 |
$237.84 |
| 81025 |
|
111 |
107 |
$158.52 |
| 81000 |
|
75 |
73 |
$102.78 |
| 3074F |
|
138 |
138 |
$56.63 |
| 3210F |
|
326 |
326 |
$31.50 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$12.53 |
| 3078F |
|
141 |
141 |
$0.00 |
| 99402 |
|
27 |
26 |
$0.00 |