| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,165 |
5,241 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,658 |
1,558 |
$86K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
69 |
69 |
$34K |
| 80050 |
General health panel |
645 |
631 |
$30K |
| 80053 |
Comprehensive metabolic panel |
1,096 |
1,058 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
310 |
304 |
$12K |
| 80061 |
Lipid panel |
748 |
740 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,068 |
1,017 |
$6K |
| 87486 |
|
95 |
95 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
33 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
15 |
$765.30 |
| G0008 |
Administration of influenza virus vaccine |
62 |
59 |
$671.00 |
| 0012A |
|
12 |
12 |
$528.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55 |
55 |
$354.20 |
| 99173 |
|
69 |
69 |
$277.20 |
| 87430 |
|
34 |
32 |
$235.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$166.62 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
15 |
$164.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$98.89 |
| 83690 |
|
13 |
13 |
$66.00 |
| 81001 |
|
13 |
12 |
$37.56 |
| G9920 |
Screening performed and negative |
210 |
209 |
$0.00 |
| 90756 |
|
19 |
19 |
$0.00 |
| 91301 |
|
29 |
29 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |