| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,767 |
42,097 |
$2.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,424 |
4,817 |
$297K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16,293 |
14,595 |
$244K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,399 |
3,142 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,776 |
1,698 |
$131K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,746 |
12,955 |
$127K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,150 |
3,249 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,826 |
1,752 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,423 |
1,264 |
$12K |
| 81002 |
|
3,216 |
2,945 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
237 |
$6K |
| 73610 |
|
422 |
396 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
262 |
248 |
$3K |
| 73630 |
|
313 |
298 |
$3K |
| 90682 |
|
63 |
62 |
$2K |
| 0001A |
|
70 |
69 |
$1K |
| 0011A |
|
74 |
69 |
$1K |
| 0012A |
|
62 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
187 |
$1K |
| 73130 |
|
101 |
95 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
456 |
375 |
$987.28 |
| 73110 |
|
92 |
91 |
$837.33 |
| 29125 |
|
26 |
26 |
$808.68 |
| 0002A |
|
33 |
33 |
$708.00 |
| 81025 |
|
166 |
156 |
$615.36 |
| 73140 |
|
50 |
49 |
$554.60 |
| 0064A |
|
31 |
31 |
$520.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
40 |
$424.84 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
15 |
14 |
$273.91 |
| L3260 |
Surgical boot/shoe, each |
44 |
42 |
$257.84 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
75 |
69 |
$214.92 |
| A4565 |
Slings |
39 |
39 |
$144.13 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
13 |
$101.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
41 |
$88.60 |
| 99441 |
|
23 |
15 |
$79.42 |
| E0112 |
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips |
29 |
28 |
$62.50 |
| 73562 |
|
12 |
12 |
$22.71 |
| 90715 |
|
32 |
30 |
$0.00 |