| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,667 |
20,663 |
$576K |
| G0378 |
Hospital observation service, per hour |
4,105 |
3,806 |
$155K |
| 0510 |
|
2,487 |
2,356 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,075 |
1,057 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
541 |
538 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
527 |
468 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
404 |
395 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
164 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
363 |
318 |
$6K |
| 87081 |
|
730 |
726 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
553 |
538 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
104 |
102 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
104 |
102 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
142 |
140 |
$3K |
| 81002 |
|
1,059 |
1,020 |
$3K |
| 0270 |
|
255 |
248 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$2K |
| 81025 |
|
269 |
265 |
$2K |
| 87186 |
|
56 |
55 |
$415.63 |
| 87077 |
|
56 |
55 |
$282.39 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$200.82 |
| 87400 |
|
24 |
19 |
$189.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
24 |
$142.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$89.04 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
13 |
13 |
$61.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
81 |
80 |
$3.15 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$1.54 |