| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,146 |
46,783 |
$2.08M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,670 |
24,654 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,366 |
8,758 |
$561K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13,990 |
13,036 |
$416K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,628 |
3,455 |
$264K |
| 87428 |
|
6,752 |
6,165 |
$213K |
| 99051 |
|
15,477 |
14,695 |
$162K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,249 |
11,450 |
$136K |
| 99215 |
Prolong outpt/office vis |
754 |
425 |
$47K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,532 |
1,449 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,134 |
1,176 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,132 |
924 |
$12K |
| 87905 |
|
1,033 |
990 |
$9K |
| 81002 |
|
3,722 |
3,543 |
$9K |
| 99401 |
|
469 |
445 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
403 |
372 |
$8K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
57 |
53 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
625 |
607 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,678 |
2,514 |
$6K |
| 80305 |
|
694 |
404 |
$4K |
| 86328 |
|
92 |
90 |
$4K |
| 81025 |
|
585 |
559 |
$4K |
| 87807 |
|
369 |
357 |
$3K |
| 73630 |
|
158 |
158 |
$3K |
| 73610 |
|
160 |
156 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
38 |
$1K |
| 86580 |
|
241 |
182 |
$1K |
| 69210 |
|
41 |
41 |
$996.96 |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
41 |
38 |
$881.92 |
| 29130 |
|
17 |
15 |
$463.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
49 |
47 |
$450.00 |
| 73130 |
|
16 |
16 |
$324.48 |
| H0006 |
Alcohol and/or drug services; case management |
361 |
213 |
$303.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
25 |
$292.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$287.30 |
| 73560 |
|
17 |
16 |
$278.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$271.95 |
| 73140 |
|
14 |
14 |
$213.85 |
| 69209 |
|
13 |
12 |
$124.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
86 |
85 |
$89.23 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$62.89 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
361 |
216 |
$7.60 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
138 |
132 |
$6.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
171 |
157 |
$0.56 |
| A4245 |
Alcohol wipes, per box |
161 |
154 |
$0.00 |
| 99072 |
|
529 |
511 |
$0.00 |
| G2086 |
Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month |
12 |
12 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
138 |
132 |
$0.00 |
| 99000 |
|
851 |
822 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
138 |
132 |
$0.00 |
| T1503 |
Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
26 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
176 |
173 |
$0.00 |
| G2087 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
727 |
463 |
$0.00 |
| Q4049 |
Finger splint, static |
15 |
14 |
$0.00 |