| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,021 |
20,982 |
$1.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,575 |
9,145 |
$415K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,088 |
4,071 |
$263K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,424 |
2,400 |
$248K |
| 71046 |
Radiologic examination, chest; 2 views |
4,255 |
3,244 |
$60K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,664 |
1,610 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,771 |
3,694 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,159 |
2,410 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,495 |
1,372 |
$30K |
| 99215 |
Prolong outpt/office vis |
430 |
392 |
$28K |
| 74019 |
|
1,011 |
822 |
$20K |
| 81025 |
|
3,018 |
2,859 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,964 |
1,675 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
256 |
256 |
$10K |
| 81000 |
|
3,178 |
3,059 |
$9K |
| 73130 |
|
473 |
375 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
850 |
785 |
$8K |
| 73630 |
|
468 |
369 |
$8K |
| 80053 |
Comprehensive metabolic panel |
1,849 |
1,730 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
303 |
272 |
$7K |
| ATP14 |
|
882 |
848 |
$5K |
| 73610 |
|
236 |
190 |
$4K |
| 86328 |
|
107 |
106 |
$3K |
| 73562 |
|
159 |
118 |
$3K |
| 81002 |
|
1,791 |
1,676 |
$3K |
| 72100 |
|
146 |
120 |
$2K |
| 93000 |
|
160 |
154 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
76 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
54 |
45 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
329 |
285 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
108 |
$795.20 |
| 73110 |
|
39 |
25 |
$763.44 |
| 29126 |
|
15 |
14 |
$558.00 |
| 83690 |
|
113 |
107 |
$531.71 |
| 82150 |
|
111 |
106 |
$465.55 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
499 |
449 |
$252.23 |
| 72040 |
|
13 |
12 |
$243.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
976 |
918 |
$156.87 |
| 85027 |
|
31 |
30 |
$153.40 |
| 36415 |
Collection of venous blood by venipuncture |
777 |
713 |
$103.90 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
374 |
356 |
$101.76 |
| 85007 |
|
31 |
30 |
$81.38 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
617 |
580 |
$37.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
907 |
859 |
$33.44 |
| Q4049 |
Finger splint, static |
12 |
12 |
$18.48 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
163 |
157 |
$11.24 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
649 |
602 |
$9.99 |
| 80047 |
|
12 |
12 |
$2.70 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
96 |
90 |
$0.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$0.00 |
| A6442 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard |
61 |
53 |
$0.00 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
13 |
12 |
$0.00 |