| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,506 |
11,460 |
$9.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,866 |
1,712 |
$502K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
313 |
208 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,668 |
1,606 |
$55K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
112 |
99 |
$28K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
75 |
71 |
$22K |
| 0012A |
|
18 |
16 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
142 |
142 |
$6K |
| 0011A |
|
15 |
13 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
94 |
$4K |
| 90686 |
|
12 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
24 |
$975.27 |
| 92250 |
|
30 |
30 |
$658.07 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
44 |
26 |
$621.13 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
20 |
$223.60 |
| 92285 |
|
30 |
30 |
$201.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
114 |
$8.73 |
| 82962 |
|
59 |
57 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |