| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
44 |
44 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
253 |
247 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
269 |
$14K |
| 87631 |
|
66 |
64 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
103 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
78 |
72 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 80050 |
General health panel |
51 |
45 |
$2K |
| 80061 |
Lipid panel |
63 |
58 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
56 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
87 |
84 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
29 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
58 |
$988.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
68 |
$975.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50 |
49 |
$762.00 |
| 82043 |
|
43 |
40 |
$549.42 |
| 84460 |
|
40 |
40 |
$471.92 |
| 84450 |
|
40 |
40 |
$460.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$426.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$411.81 |
| 81001 |
|
24 |
16 |
$157.65 |
| 81002 |
|
41 |
41 |
$91.73 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$62.43 |
| 81003 |
|
14 |
12 |
$57.64 |