| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,089 |
141,352 |
$6.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104,116 |
91,793 |
$6.69M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130,930 |
118,284 |
$6.59M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55,210 |
49,746 |
$4.35M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68,234 |
60,111 |
$780K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56,399 |
25,575 |
$618K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,650 |
16,783 |
$565K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32,250 |
28,447 |
$405K |
| 99205 |
Prolong outpt/office vis |
3,348 |
3,321 |
$373K |
| 99215 |
Prolong outpt/office vis |
3,561 |
3,519 |
$341K |
| 99051 |
|
151,517 |
131,270 |
$269K |
| S9083 |
Global fee urgent care centers |
5,687 |
5,395 |
$153K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,770 |
10,503 |
$123K |
| 81025 |
|
16,741 |
15,364 |
$103K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,319 |
3,760 |
$101K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
416 |
412 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,505 |
1,488 |
$59K |
| 81003 |
|
32,922 |
29,873 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,528 |
1,505 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
2,186 |
2,148 |
$42K |
| 73630 |
|
2,005 |
1,977 |
$39K |
| 10060 |
|
608 |
598 |
$37K |
| 73610 |
|
1,739 |
1,718 |
$36K |
| 12001 |
|
653 |
641 |
$34K |
| 73130 |
|
1,577 |
1,552 |
$32K |
| 90715 |
|
1,034 |
1,008 |
$29K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
296 |
293 |
$28K |
| 73110 |
|
1,205 |
1,185 |
$26K |
| 87807 |
|
2,377 |
2,266 |
$21K |
| 10061 |
|
216 |
213 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,414 |
1,376 |
$16K |
| 29540 |
|
942 |
925 |
$16K |
| 93000 |
|
1,390 |
1,370 |
$15K |
| 73562 |
|
685 |
675 |
$15K |
| 73140 |
|
718 |
702 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,743 |
1,640 |
$12K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
497 |
484 |
$12K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
733 |
726 |
$12K |
| 69209 |
|
1,392 |
1,340 |
$12K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
174 |
172 |
$10K |
| 73030 |
|
406 |
402 |
$8K |
| 81002 |
|
3,532 |
3,404 |
$8K |
| 12011 |
|
120 |
117 |
$8K |
| 29125 |
|
148 |
145 |
$6K |
| 29530 |
|
286 |
283 |
$6K |
| 69210 |
|
311 |
302 |
$6K |
| 86308 |
|
1,343 |
1,328 |
$5K |
| 90714 |
|
235 |
225 |
$5K |
| 69200 |
|
91 |
91 |
$5K |
| L3260 |
Surgical boot/shoe, each |
258 |
254 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,661 |
3,479 |
$5K |
| 12002 |
|
70 |
66 |
$4K |
| 73080 |
|
229 |
225 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,959 |
3,777 |
$4K |
| 99000 |
|
1,456 |
1,373 |
$4K |
| 82962 |
|
1,187 |
1,175 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,934 |
2,854 |
$3K |
| 73560 |
|
145 |
145 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
607 |
596 |
$3K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
32 |
32 |
$2K |
| 29260 |
|
92 |
91 |
$2K |
| 28190 |
|
13 |
12 |
$2K |
| 73090 |
|
93 |
91 |
$2K |
| 29280 |
|
61 |
61 |
$1K |
| 71101 |
|
47 |
47 |
$1K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
15 |
$995.20 |
| 90473 |
|
399 |
350 |
$768.97 |
| 74018 |
|
37 |
37 |
$648.47 |
| 73590 |
|
37 |
37 |
$643.68 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
20 |
19 |
$626.96 |
| 72100 |
|
25 |
24 |
$587.85 |
| Q4049 |
Finger splint, static |
741 |
724 |
$507.97 |
| 99050 |
|
1,247 |
1,208 |
$497.05 |
| 73620 |
|
30 |
29 |
$450.06 |
| 73502 |
|
16 |
14 |
$442.85 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
15 |
15 |
$423.24 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
47 |
46 |
$404.68 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$272.09 |
| A4565 |
Slings |
126 |
124 |
$264.08 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
993 |
972 |
$205.83 |
| 73120 |
|
13 |
13 |
$200.63 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
662 |
651 |
$184.27 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
49 |
$105.24 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
15 |
15 |
$82.94 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
57 |
54 |
$78.42 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
366 |
357 |
$61.16 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,548 |
1,511 |
$58.46 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
27 |
27 |
$49.50 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
258 |
249 |
$35.07 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
810 |
785 |
$28.18 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
409 |
393 |
$18.40 |
| J7510 |
Prednisolone oral, per 5 mg |
16 |
16 |
$4.00 |
| J1890 |
Injection, cephalothin sodium, up to 1 gram |
14 |
14 |
$3.13 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
14 |
$2.77 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
14 |
14 |
$1.20 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
70 |
63 |
$0.12 |
| 99072 |
|
72 |
71 |
$0.00 |
| A9150 |
Non-prescription drugs |
98 |
92 |
$0.00 |
| 94760 |
|
26 |
26 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.00 |