| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52,383 |
52,037 |
$2.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70,093 |
65,147 |
$2.49M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37,231 |
37,072 |
$1.58M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68,314 |
62,917 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,851 |
40,785 |
$997K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20,787 |
20,344 |
$602K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23,256 |
22,157 |
$555K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,185 |
19,910 |
$337K |
| 94760 |
|
63,789 |
59,568 |
$259K |
| 99401 |
|
61,202 |
57,410 |
$220K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30,099 |
18,236 |
$194K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12,628 |
11,488 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,362 |
8,993 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,079 |
17,779 |
$102K |
| 99000 |
|
25,188 |
24,072 |
$56K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
599 |
563 |
$36K |
| 81003 |
|
12,409 |
12,064 |
$27K |
| 99201 |
|
454 |
415 |
$23K |
| 93000 |
|
825 |
819 |
$18K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,085 |
1,951 |
$15K |
| 81025 |
|
3,829 |
3,726 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,778 |
1,735 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
638 |
631 |
$12K |
| 99205 |
Prolong outpt/office vis |
175 |
174 |
$11K |
| 99497 |
|
266 |
266 |
$10K |
| 99051 |
|
3,799 |
3,606 |
$8K |
| 36410 |
|
1,020 |
1,009 |
$7K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
924 |
905 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
702 |
693 |
$6K |
| 87807 |
|
884 |
865 |
$5K |
| S9083 |
Global fee urgent care centers |
698 |
652 |
$4K |
| 99215 |
Prolong outpt/office vis |
59 |
59 |
$3K |
| 69210 |
|
119 |
116 |
$3K |
| 97597 |
|
101 |
91 |
$2K |
| 73630 |
|
95 |
94 |
$2K |
| 99072 |
|
1,411 |
1,344 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
334 |
322 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
131 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$1K |
| 73610 |
|
55 |
54 |
$1K |
| 90714 |
|
40 |
40 |
$986.46 |
| 69209 |
|
69 |
68 |
$850.98 |
| 99173 |
|
331 |
321 |
$748.37 |
| 86308 |
|
180 |
177 |
$722.04 |
| 73130 |
|
28 |
28 |
$709.34 |
| 81002 |
|
201 |
198 |
$662.60 |
| 73564 |
|
24 |
24 |
$606.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$521.08 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
303 |
$450.26 |
| 72110 |
|
12 |
12 |
$393.77 |
| 99406 |
|
43 |
43 |
$374.60 |
| 99441 |
|
210 |
195 |
$310.98 |
| 86328 |
|
13 |
13 |
$271.38 |
| 82962 |
|
131 |
129 |
$194.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
80 |
80 |
$162.87 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
29 |
$156.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$71.00 |
| 85018 |
|
32 |
32 |
$55.50 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
549 |
512 |
$25.31 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
26 |
26 |
$23.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
69 |
68 |
$5.63 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
13 |
$5.25 |
| 94761 |
|
15 |
15 |
$1.75 |