| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,223 |
13,109 |
$1.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,610 |
14,695 |
$939K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,255 |
9,215 |
$577K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,635 |
6,394 |
$310K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,807 |
5,702 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,712 |
2,629 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,161 |
4,021 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
400 |
399 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
572 |
553 |
$19K |
| 99215 |
Prolong outpt/office vis |
175 |
175 |
$13K |
| 81025 |
|
1,940 |
1,909 |
$11K |
| 81003 |
|
6,625 |
6,420 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
615 |
605 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
880 |
849 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
172 |
$7K |
| 73610 |
|
352 |
350 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,685 |
1,545 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
956 |
928 |
$5K |
| 73130 |
|
295 |
293 |
$4K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$4K |
| 73630 |
|
286 |
285 |
$4K |
| 99051 |
|
8,327 |
8,026 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,844 |
1,790 |
$3K |
| 90714 |
|
116 |
116 |
$2K |
| 73110 |
|
86 |
86 |
$1K |
| 93000 |
|
190 |
187 |
$1K |
| 73562 |
|
97 |
97 |
$1K |
| 99000 |
|
3,571 |
3,484 |
$933.59 |
| 10060 |
|
14 |
14 |
$875.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
119 |
$767.45 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
960 |
941 |
$647.90 |
| 12001 |
|
13 |
13 |
$562.21 |
| 94200 |
|
50 |
48 |
$419.55 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
568 |
545 |
$395.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$394.56 |
| 73030 |
|
27 |
26 |
$347.22 |
| 74018 |
|
27 |
27 |
$329.25 |
| 81002 |
|
90 |
90 |
$229.54 |
| 82962 |
|
84 |
83 |
$145.53 |
| 86308 |
|
14 |
14 |
$57.24 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
21 |
$53.20 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
367 |
364 |
$34.88 |
| 94760 |
|
1,834 |
1,733 |
$24.16 |
| Q4049 |
Finger splint, static |
14 |
13 |
$12.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
43 |
41 |
$10.06 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
390 |
371 |
$1.04 |
| G9350 |
Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis |
19 |
14 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
32 |
28 |
$0.00 |
| 94761 |
|
72 |
69 |
$0.00 |
| 1036F |
|
119 |
98 |
$0.00 |
| G9286 |
Antibiotic regimen prescribed within 10 days after onset of symptoms |
23 |
18 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
32 |
22 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
96 |
74 |
$0.00 |
| G9364 |
Sinusitis caused by, or presumed to be caused by, bacterial infection |
25 |
20 |
$0.00 |
| 99173 |
|
489 |
489 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
247 |
245 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
393 |
319 |
$0.00 |
| G9498 |
Antibiotic regimen prescribed |
23 |
19 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
239 |
218 |
$0.00 |
| 3210F |
|
21 |
15 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
90 |
73 |
$0.00 |
| 4004F |
|
17 |
14 |
$0.00 |
| A4565 |
Slings |
13 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
118 |
100 |
$0.00 |