| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30,131 |
30,100 |
$2.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,874 |
44,539 |
$1.73M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
625 |
619 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
866 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13,208 |
13,126 |
$11K |
| 99215 |
Prolong outpt/office vis |
192 |
192 |
$11K |
| 99205 |
Prolong outpt/office vis |
57 |
57 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,776 |
10,385 |
$4K |
| S9083 |
Global fee urgent care centers |
133 |
116 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,656 |
4,574 |
$897.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,330 |
9,289 |
$827.68 |
| 71046 |
Radiologic examination, chest; 2 views |
1,464 |
1,452 |
$386.69 |
| 81025 |
|
3,438 |
3,413 |
$269.46 |
| 81003 |
|
8,620 |
8,518 |
$226.14 |
| 87807 |
|
1,534 |
1,524 |
$147.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
324 |
322 |
$35.91 |
| 73562 |
|
45 |
43 |
$23.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
874 |
871 |
$21.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
332 |
325 |
$5.48 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
213 |
212 |
$0.20 |
| 99401 |
|
70 |
70 |
$0.00 |
| 73610 |
|
102 |
101 |
$0.00 |
| 73630 |
|
125 |
123 |
$0.00 |
| 73030 |
|
13 |
12 |
$0.00 |
| 73110 |
|
27 |
26 |
$0.00 |
| 73130 |
|
30 |
29 |
$0.00 |
| 69210 |
|
14 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,052 |
1,035 |
$0.00 |
| 99000 |
|
6,051 |
5,808 |
$0.00 |
| 82962 |
|
28 |
28 |
$0.00 |
| 93000 |
|
88 |
87 |
$0.00 |