| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,530 |
5,903 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,516 |
3,329 |
$269K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,744 |
2,743 |
$187K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,422 |
1,414 |
$142K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,746 |
3,576 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,073 |
2,512 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,746 |
1,727 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,425 |
1,342 |
$12K |
| 81025 |
|
1,471 |
1,418 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
304 |
304 |
$5K |
| 81002 |
|
2,084 |
2,010 |
$5K |
| 73130 |
|
174 |
173 |
$3K |
| 73630 |
|
92 |
91 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
729 |
686 |
$1K |
| 93000 |
|
186 |
180 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
197 |
196 |
$766.48 |
| 87807 |
|
158 |
155 |
$726.95 |
| 99000 |
|
5,671 |
5,388 |
$711.27 |
| 82962 |
|
146 |
141 |
$357.86 |
| 73610 |
|
12 |
12 |
$257.73 |
| 73562 |
|
15 |
14 |
$224.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
221 |
214 |
$214.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
232 |
230 |
$182.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$177.43 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
14 |
$8.15 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$2.40 |
| 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 |
43 |
43 |
$1.71 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
3,315 |
2,974 |
$0.09 |
| S9083 |
Global fee urgent care centers |
14 |
14 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
92 |
92 |
$0.00 |