| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,772 |
15,527 |
$414K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,866 |
20,224 |
$348K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,476 |
9,003 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,260 |
11,765 |
$149K |
| 0001A |
|
4,950 |
4,944 |
$149K |
| 0002A |
|
3,654 |
3,650 |
$121K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,809 |
1,770 |
$26K |
| 0004A |
|
349 |
349 |
$14K |
| 0011A |
|
269 |
269 |
$10K |
| 81025 |
|
4,259 |
4,065 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,830 |
2,274 |
$8K |
| 0012A |
|
163 |
163 |
$5K |
| 81003 |
|
8,238 |
7,661 |
$4K |
| 99215 |
Prolong outpt/office vis |
123 |
123 |
$4K |
| 99000 |
|
3,404 |
3,272 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
224 |
221 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,493 |
3,399 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
167 |
86 |
$3K |
| 0072A |
|
77 |
77 |
$3K |
| 0071A |
|
73 |
73 |
$3K |
| 0064A |
|
68 |
68 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
989 |
905 |
$3K |
| 0031A |
|
59 |
59 |
$2K |
| 94760 |
|
918 |
875 |
$837.02 |
| 0003A |
|
21 |
20 |
$800.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
810 |
642 |
$697.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
719 |
505 |
$655.80 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
150 |
81 |
$280.00 |
| 99051 |
|
42 |
26 |
$280.00 |
| 86318 |
|
18 |
18 |
$225.60 |
| 87070 |
|
380 |
376 |
$104.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$71.72 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
317 |
243 |
$70.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
111 |
111 |
$70.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
206 |
153 |
$28.98 |
| 73610 |
|
25 |
25 |
$25.14 |
| 81002 |
|
15 |
14 |
$23.85 |
| 36415 |
Collection of venous blood by venipuncture |
751 |
733 |
$9.36 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
49 |
49 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
168 |
151 |
$0.00 |
| 94761 |
|
90 |
87 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
13 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
39 |
32 |
$0.00 |
| A6448 |
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard |
12 |
12 |
$0.00 |
| 93000 |
|
62 |
62 |
$0.00 |
| 82948 |
|
45 |
43 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
278 |
158 |
$0.00 |
| 73630 |
|
62 |
60 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
40 |
39 |
$0.00 |
| 69209 |
|
21 |
13 |
$0.00 |
| 73130 |
|
15 |
13 |
$0.00 |
| 73562 |
|
17 |
14 |
$0.00 |