| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,330 |
14,132 |
$596K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,377 |
3,268 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,294 |
8,478 |
$366K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,336 |
1,307 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,484 |
2,388 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
1,004 |
925 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
95 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
134 |
$8K |
| 81003 |
|
1,706 |
1,604 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
191 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
788 |
675 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
521 |
452 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
49 |
$3K |
| 96127 |
|
55 |
52 |
$2K |
| 80047 |
|
498 |
484 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
487 |
476 |
$976.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$513.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$271.05 |
| 81025 |
|
52 |
51 |
$198.03 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
81 |
78 |
$82.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$41.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
92 |
81 |
$20.96 |
| 90686 |
|
75 |
67 |
$19.44 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
28 |
26 |
$0.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
35 |
$0.00 |
| 73610 |
|
32 |
26 |
$0.00 |
| S5000 |
Prescription drug, generic |
25 |
24 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
39 |
29 |
$0.00 |