| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,590 |
22,146 |
$1.20M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,615 |
15,606 |
$1.10M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27,515 |
27,053 |
$954K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,536 |
7,320 |
$598K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,231 |
3,227 |
$385K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,205 |
2,204 |
$113K |
| 87428 |
|
1,712 |
1,691 |
$94K |
| 99215 |
Prolong outpt/office vis |
765 |
760 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,762 |
1,752 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,051 |
2,703 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,470 |
1,443 |
$52K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
487 |
486 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,363 |
5,320 |
$25K |
| 99051 |
|
2,718 |
2,703 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
510 |
501 |
$10K |
| 0011A |
|
253 |
253 |
$7K |
| 0012A |
|
244 |
244 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
427 |
416 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
333 |
323 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
53 |
53 |
$962.81 |
| 81025 |
|
336 |
333 |
$947.66 |
| 81003 |
|
456 |
449 |
$598.36 |
| 81002 |
|
240 |
235 |
$432.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
189 |
185 |
$429.26 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
9,353 |
9,199 |
$308.92 |
| 73030 |
|
13 |
13 |
$238.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
118 |
115 |
$85.29 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
110 |
$75.00 |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
13 |
13 |
$74.63 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
60 |
59 |
$47.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$11.79 |
| 87807 |
|
18 |
18 |
$11.13 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
120 |
116 |
$9.56 |
| A9150 |
Non-prescription drugs |
46 |
46 |
$1.52 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
13 |
13 |
$1.40 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$1.36 |
| 99000 |
|
217 |
213 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |