| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,012 |
54,755 |
$4.66M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,615 |
10,238 |
$890K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,068 |
9,732 |
$868K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,416 |
1,354 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,477 |
6,155 |
$13K |
| 99000 |
|
3,987 |
3,738 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,502 |
2,242 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
823 |
755 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
38 |
$2K |
| 81002 |
|
3,383 |
3,140 |
$1K |
| 94760 |
|
3,180 |
2,994 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
56 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
829 |
752 |
$1K |
| 81025 |
|
1,597 |
1,482 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$367.44 |
| 73630 |
|
95 |
84 |
$227.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
674 |
640 |
$149.84 |
| 69210 |
|
25 |
25 |
$124.31 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
163 |
141 |
$112.68 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
13,986 |
12,601 |
$109.71 |
| 36415 |
Collection of venous blood by venipuncture |
383 |
356 |
$101.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
88 |
$75.09 |
| 93000 |
|
45 |
37 |
$32.28 |
| 73610 |
|
16 |
14 |
$26.13 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
33 |
29 |
$23.02 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
344 |
306 |
$3.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$3.28 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
25 |
25 |
$1.29 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
152 |
142 |
$0.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$0.00 |
| 99051 |
|
7,802 |
7,287 |
$0.00 |