| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,172 |
2,350 |
$143K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,176 |
2,840 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,405 |
2,503 |
$117K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,545 |
2,501 |
$75K |
| S8301 |
Infection control supplies, not otherwise specified |
2,898 |
1,958 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,166 |
2,844 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,422 |
2,151 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
759 |
721 |
$9K |
| 99000 |
|
797 |
757 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
350 |
148 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
47 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| 92558 |
|
533 |
502 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
116 |
$1K |
| 81003 |
|
506 |
487 |
$902.39 |
| 99050 |
|
21 |
21 |
$288.82 |
| 90461 |
|
59 |
51 |
$242.30 |
| 96161 |
|
94 |
91 |
$131.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$106.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
759 |
720 |
$33.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
41 |
$6.17 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
30 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
14 |
$0.00 |