| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,632 |
3,363 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,478 |
2,328 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,639 |
1,638 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,155 |
1,152 |
$107K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,500 |
2,426 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,117 |
2,026 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,552 |
1,528 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
953 |
887 |
$4K |
| 81025 |
|
950 |
908 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
255 |
253 |
$2K |
| 81002 |
|
1,335 |
1,283 |
$1K |
| 73130 |
|
152 |
150 |
$811.24 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
285 |
$810.04 |
| 73630 |
|
56 |
54 |
$504.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
479 |
448 |
$437.56 |
| 87807 |
|
92 |
92 |
$303.80 |
| 16020 |
|
13 |
12 |
$275.85 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
51 |
48 |
$197.38 |
| 99000 |
|
2,932 |
2,835 |
$133.98 |
| 73610 |
|
12 |
12 |
$117.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
133 |
132 |
$65.18 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
32 |
30 |
$59.55 |
| 73110 |
|
13 |
13 |
$52.82 |
| 93000 |
|
17 |
15 |
$45.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
34 |
$21.88 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$20.44 |
| 82962 |
|
30 |
30 |
$10.84 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
60 |
60 |
$2.85 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
938 |
855 |
$0.02 |
| H0033 |
Oral medication administration, direct observation |
84 |
84 |
$0.00 |