| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,999 |
28,502 |
$2.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,172 |
4,028 |
$507K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,376 |
2,365 |
$288K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,604 |
4,361 |
$238K |
| 97803 |
|
12,645 |
5,038 |
$210K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,447 |
2,373 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
590 |
588 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,231 |
5,092 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,264 |
2,246 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,190 |
8,920 |
$35K |
| 93000 |
|
1,946 |
1,927 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,816 |
1,024 |
$29K |
| 87070 |
|
4,917 |
4,803 |
$29K |
| 90686 |
|
1,184 |
1,184 |
$25K |
| 87184 |
|
4,960 |
4,844 |
$23K |
| 69210 |
|
401 |
396 |
$21K |
| 90715 |
|
335 |
334 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
15,703 |
14,875 |
$15K |
| M0248 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
16 |
16 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
283 |
280 |
$12K |
| 97802 |
|
176 |
176 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
331 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
368 |
368 |
$6K |
| 0011A |
|
94 |
94 |
$3K |
| 90707 |
|
37 |
37 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
650 |
640 |
$3K |
| 80076 |
|
654 |
645 |
$3K |
| 80061 |
Lipid panel |
382 |
381 |
$3K |
| 81000 |
|
836 |
800 |
$3K |
| 17110 |
|
16 |
13 |
$2K |
| 90674 |
|
78 |
78 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
142 |
142 |
$1K |
| 0012A |
|
27 |
27 |
$1K |
| 81025 |
|
236 |
229 |
$1K |
| S0612 |
Annual gynecological examination, established patient |
14 |
14 |
$910.00 |
| 0013A |
|
13 |
13 |
$591.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$500.23 |
| 99442 |
|
21 |
20 |
$463.16 |
| 85651 |
|
138 |
137 |
$353.51 |
| 86580 |
|
44 |
42 |
$322.45 |
| 80053 |
Comprehensive metabolic panel |
33 |
33 |
$198.92 |
| 82550 |
|
48 |
48 |
$169.97 |
| 87110 |
|
12 |
12 |
$119.91 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
26 |
$41.20 |
| 82270 |
|
13 |
13 |
$38.04 |
| 99000 |
|
13 |
13 |
$5.76 |
| Q0247 |
Injection, sotrovimab, 500 mg |
13 |
13 |
$1.80 |
| 91301 |
|
136 |
132 |
$0.24 |
| 99072 |
|
16 |
15 |
$0.00 |
| 36416 |
|
97 |
94 |
$0.00 |
| M1008 |
<50% of total number of a patient's outpatient ra encounters assessed |
18 |
18 |
$0.00 |