| Code | Description | Claims | Beneficiaries | Total Paid |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
766 |
761 |
$123K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,086 |
1,076 |
$65K |
| 87631 |
|
479 |
472 |
$63K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
469 |
459 |
$42K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
942 |
931 |
$32K |
| 85027 |
|
3,838 |
3,810 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,234 |
1,207 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
78 |
73 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
646 |
617 |
$15K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
275 |
262 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,633 |
1,581 |
$15K |
| 83655 |
|
1,041 |
1,038 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
655 |
647 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
388 |
371 |
$9K |
| 81001 |
|
2,742 |
2,708 |
$8K |
| 90961 |
|
151 |
137 |
$7K |
| 99460 |
|
68 |
65 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
231 |
$5K |
| 80061 |
Lipid panel |
440 |
434 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
95 |
91 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
671 |
652 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
105 |
$4K |
| 87400 |
|
152 |
148 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
138 |
134 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
335 |
330 |
$3K |
| 84439 |
|
250 |
246 |
$2K |
| 92136 |
|
106 |
99 |
$2K |
| 11721 |
|
130 |
123 |
$1K |
| 82728 |
|
115 |
115 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
97 |
48 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
60 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$827.45 |
| 0072A |
|
12 |
12 |
$480.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
30 |
$375.04 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$321.84 |
| 73630 |
|
15 |
12 |
$192.38 |
| 80069 |
|
15 |
14 |
$125.55 |
| 82570 |
|
12 |
12 |
$60.32 |
| 81003 |
|
27 |
27 |
$58.03 |
| 84156 |
|
12 |
12 |
$43.44 |