| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,369 |
6,752 |
$450K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,622 |
2,612 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,436 |
3,300 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
893 |
885 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,290 |
1,269 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
965 |
720 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
372 |
359 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
898 |
509 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
100 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
369 |
$4K |
| 81025 |
|
665 |
643 |
$4K |
| 74019 |
|
134 |
108 |
$3K |
| 81000 |
|
561 |
543 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
347 |
172 |
$895.58 |
| 86328 |
|
28 |
27 |
$853.22 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$792.89 |
| 81002 |
|
484 |
457 |
$780.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
61 |
$728.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
20 |
$649.00 |
| 80053 |
Comprehensive metabolic panel |
76 |
71 |
$240.03 |
| ATP14 |
|
13 |
13 |
$119.79 |
| 80047 |
|
24 |
24 |
$106.90 |
| 90756 |
|
32 |
32 |
$45.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
29 |
$10.80 |
| 36415 |
Collection of venous blood by venipuncture |
303 |
297 |
$7.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
27 |
$6.58 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
32 |
30 |
$3.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
28 |
$1.40 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
87 |
82 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
25 |
25 |
$0.00 |