| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,167 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,433 |
1,195 |
$77K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
554 |
460 |
$5K |
| 80053 |
Comprehensive metabolic panel |
529 |
469 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,237 |
1,095 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
62 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
207 |
$2K |
| 85027 |
|
486 |
444 |
$2K |
| 80061 |
Lipid panel |
218 |
190 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
251 |
222 |
$2K |
| 87070 |
|
156 |
137 |
$871.19 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$571.31 |
| 96127 |
|
15 |
14 |
$496.87 |
| 84681 |
|
30 |
27 |
$447.42 |
| 90686 |
|
29 |
28 |
$327.36 |
| 82948 |
|
176 |
134 |
$315.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
25 |
$306.79 |
| 72100 |
|
12 |
12 |
$301.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$261.85 |
| 83525 |
|
28 |
25 |
$234.90 |
| 86677 |
|
12 |
12 |
$177.66 |
| 84439 |
|
14 |
12 |
$81.89 |
| 81001 |
|
32 |
26 |
$54.24 |
| 81003 |
|
35 |
24 |
$43.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
15 |
$27.38 |
| 36416 |
|
32 |
26 |
$4.00 |