| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,571 |
2,042 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,541 |
2,170 |
$76K |
| 99490 |
Ccm add 20min |
1,657 |
1,547 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,154 |
672 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,784 |
1,540 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,230 |
1,126 |
$5K |
| 99487 |
Ccm add 20min |
132 |
131 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
15 |
$1K |
| 80061 |
Lipid panel |
233 |
226 |
$719.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
392 |
369 |
$704.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
18 |
$546.04 |
| 82948 |
|
226 |
205 |
$268.70 |
| 81002 |
|
296 |
262 |
$263.56 |
| 99442 |
|
17 |
13 |
$204.56 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$77.29 |
| 90686 |
|
16 |
16 |
$76.12 |
| 82962 |
|
133 |
114 |
$46.90 |
| 90674 |
|
16 |
15 |
$29.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
212 |
162 |
$17.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$12.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
55 |
51 |
$0.60 |
| 3008F |
|
276 |
239 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 3044F |
|
36 |
36 |
$0.00 |
| 1159F |
|
754 |
672 |
$0.00 |
| 1160F |
|
951 |
844 |
$0.00 |
| 3077F |
|
27 |
25 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
53 |
41 |
$0.00 |
| 3078F |
|
15 |
13 |
$0.00 |