| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,745 |
68,978 |
$3.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,780 |
24,171 |
$1.64M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,493 |
23,436 |
$1.52M |
| 87428 |
|
18,289 |
18,022 |
$667K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,578 |
5,565 |
$528K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,830 |
20,464 |
$262K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,111 |
5,936 |
$189K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,592 |
3,579 |
$148K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,071 |
1,050 |
$124K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,025 |
3,919 |
$122K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,895 |
5,618 |
$44K |
| 81025 |
|
5,909 |
5,811 |
$38K |
| 99000 |
|
5,061 |
4,905 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,957 |
1,308 |
$26K |
| 81003 |
|
12,486 |
12,204 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
531 |
522 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
556 |
546 |
$17K |
| 93000 |
|
2,027 |
2,007 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,176 |
1,152 |
$15K |
| 90715 |
|
467 |
467 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,062 |
1,014 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,542 |
1,511 |
$9K |
| 12001 |
|
127 |
127 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
474 |
468 |
$6K |
| 87400 |
|
764 |
386 |
$6K |
| 10060 |
|
57 |
56 |
$4K |
| 86308 |
|
774 |
768 |
$3K |
| 0240U |
|
227 |
224 |
$2K |
| 82962 |
|
954 |
950 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,744 |
2,673 |
$2K |
| 0012A |
|
55 |
55 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
357 |
353 |
$2K |
| 0011A |
|
79 |
79 |
$2K |
| 81002 |
|
577 |
567 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,239 |
1,227 |
$1K |
| 99201 |
|
41 |
41 |
$1K |
| 12002 |
|
13 |
12 |
$963.49 |
| 0001A |
|
46 |
46 |
$930.34 |
| 0002A |
|
31 |
31 |
$918.55 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
809 |
788 |
$782.84 |
| 86580 |
|
122 |
113 |
$727.50 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
220 |
214 |
$721.11 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
223 |
$717.03 |
| 72100 |
|
15 |
15 |
$190.75 |
| 90686 |
|
20 |
16 |
$171.27 |
| 69209 |
|
25 |
25 |
$167.08 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
29 |
29 |
$160.47 |
| S9083 |
Global fee urgent care centers |
114 |
112 |
$151.00 |
| 15853 |
|
16 |
16 |
$112.64 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
667 |
661 |
$82.50 |
| 99051 |
|
611 |
578 |
$30.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
542 |
532 |
$22.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
172 |
171 |
$4.66 |
| 3078F |
|
716 |
713 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
67 |
65 |
$0.00 |
| 3077F |
|
24 |
24 |
$0.00 |
| 3074F |
|
840 |
835 |
$0.00 |
| 3008F |
|
1,254 |
1,227 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
138 |
121 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
51 |
50 |
$0.00 |
| 3079F |
|
274 |
274 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
35 |
$0.00 |
| 3075F |
|
60 |
60 |
$0.00 |