| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,617 |
29,012 |
$1.90M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,851 |
15,798 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,228 |
7,699 |
$574K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,200 |
5,178 |
$452K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18,552 |
16,962 |
$413K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,737 |
5,319 |
$98K |
| 99205 |
Prolong outpt/office vis |
417 |
417 |
$47K |
| 99215 |
Prolong outpt/office vis |
467 |
460 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,875 |
6,374 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,408 |
4,314 |
$40K |
| 81025 |
|
7,967 |
7,297 |
$37K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
110 |
110 |
$34K |
| 99000 |
|
10,508 |
9,502 |
$34K |
| 87428 |
|
436 |
419 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
1,429 |
1,396 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
326 |
$14K |
| 81003 |
|
10,269 |
9,534 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
196 |
196 |
$9K |
| 0001A |
|
258 |
258 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,949 |
2,829 |
$7K |
| 0002A |
|
199 |
199 |
$6K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
13 |
13 |
$5K |
| 73120 |
|
407 |
395 |
$5K |
| 87634 |
|
125 |
124 |
$5K |
| 73620 |
|
349 |
342 |
$4K |
| 73560 |
|
251 |
238 |
$4K |
| 99058 |
|
489 |
429 |
$4K |
| 73600 |
|
226 |
219 |
$3K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
12 |
12 |
$3K |
| 69210 |
|
152 |
119 |
$3K |
| 93000 |
|
403 |
398 |
$2K |
| 90714 |
|
120 |
120 |
$2K |
| 87807 |
|
425 |
417 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
177 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
418 |
405 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,599 |
2,437 |
$1K |
| 73100 |
|
82 |
81 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,004 |
1,884 |
$1K |
| 29125 |
|
42 |
37 |
$1K |
| 82962 |
|
643 |
618 |
$1K |
| 73030 |
|
63 |
62 |
$934.82 |
| 29131 |
|
24 |
24 |
$703.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
30 |
$568.88 |
| 0004A |
|
18 |
18 |
$492.82 |
| 74019 |
|
25 |
25 |
$407.37 |
| 12001 |
|
12 |
12 |
$291.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,149 |
2,068 |
$173.19 |
| 86780 |
|
45 |
45 |
$170.55 |
| 99072 |
|
18,809 |
17,145 |
$140.00 |
| 86703 |
|
45 |
45 |
$131.25 |
| 86308 |
|
42 |
42 |
$107.25 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
717 |
702 |
$80.08 |
| S9083 |
Global fee urgent care centers |
58 |
57 |
$65.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
85 |
83 |
$50.06 |
| 97602 |
|
728 |
685 |
$35.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
86 |
83 |
$5.46 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
8,770 |
7,619 |
$0.19 |
| 91300 |
|
139 |
133 |
$0.08 |
| A4550 |
Surgical trays |
305 |
286 |
$0.00 |
| 99051 |
|
92 |
84 |
$0.00 |
| A4565 |
Slings |
56 |
56 |
$0.00 |
| L0978 |
Axillary crutch extension |
26 |
26 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
13 |
$0.00 |
| Q0240 |
Injection, casirivimab and imdevimab, 600 mg |
52 |
52 |
$0.00 |