| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,021 |
3,740 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,371 |
1,886 |
$55K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
482 |
322 |
$41K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
692 |
459 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,765 |
4,268 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
688 |
458 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
205 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
735 |
545 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,617 |
1,008 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,129 |
502 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
267 |
225 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
60 |
54 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
619 |
557 |
$6K |
| 36416 |
|
4,469 |
3,269 |
$5K |
| 87634 |
|
240 |
95 |
$5K |
| 81025 |
|
1,128 |
911 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
113 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
191 |
$5K |
| 81002 |
|
2,218 |
1,765 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
86 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,388 |
1,051 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
102 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
28 |
$881.33 |
| 87400 |
|
55 |
39 |
$366.33 |
| 85027 |
|
157 |
89 |
$348.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
418 |
294 |
$197.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$88.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
85 |
40 |
$40.23 |
| 81003 |
|
129 |
63 |
$14.45 |
| 87999 |
|
539 |
474 |
$14.30 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
35 |
16 |
$6.11 |