| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,652 |
20,078 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,975 |
11,101 |
$515K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,455 |
4,952 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,072 |
2,371 |
$183K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,285 |
8,263 |
$153K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,474 |
6,324 |
$138K |
| 99051 |
|
13,769 |
11,417 |
$129K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,591 |
6,191 |
$63K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,420 |
4,348 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,536 |
1,182 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
272 |
187 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
191 |
$6K |
| 86756 |
|
813 |
616 |
$3K |
| 81003 |
|
2,786 |
2,307 |
$3K |
| 81025 |
|
682 |
546 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
245 |
212 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
107 |
81 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,210 |
975 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,792 |
2,275 |
$966.29 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
221 |
179 |
$754.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
76 |
$483.80 |
| 36415 |
Collection of venous blood by venipuncture |
389 |
291 |
$472.73 |
| 87807 |
|
52 |
50 |
$429.09 |
| 90686 |
|
84 |
60 |
$262.81 |
| 86318 |
|
14 |
12 |
$143.08 |
| 90688 |
|
20 |
12 |
$71.68 |
| 94760 |
|
351 |
262 |
$41.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$36.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
30 |
$20.33 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
224 |
195 |
$0.45 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
7,754 |
6,374 |
$0.19 |
| 3078F |
|
257 |
232 |
$0.00 |
| 4004F |
|
234 |
201 |
$0.00 |
| S9083 |
Global fee urgent care centers |
149 |
123 |
$0.00 |
| 3074F |
|
299 |
266 |
$0.00 |
| 3079F |
|
14 |
12 |
$0.00 |
| 99070 |
|
12 |
12 |
$0.00 |