| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,759 |
4,733 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,367 |
4,550 |
$143K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
108 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
160 |
114 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
81 |
63 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
142 |
107 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
83 |
$5K |
| 99215 |
Prolong outpt/office vis |
79 |
46 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
960 |
818 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
39 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
28 |
28 |
$2K |
| 90688 |
|
88 |
74 |
$848.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$703.90 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$648.71 |
| 90686 |
|
40 |
39 |
$547.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$542.76 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
13 |
$466.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
38 |
$433.32 |
| 36415 |
Collection of venous blood by venipuncture |
698 |
614 |
$286.71 |
| 0012A |
|
15 |
15 |
$228.39 |
| 90670 |
|
26 |
16 |
$133.84 |
| 87081 |
|
14 |
14 |
$132.58 |
| G0008 |
Administration of influenza virus vaccine |
29 |
25 |
$123.60 |
| 80061 |
Lipid panel |
33 |
27 |
$110.92 |
| 90680 |
|
21 |
13 |
$95.60 |
| 3079F |
|
505 |
472 |
$30.02 |
| 3074F |
|
820 |
752 |
$30.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$13.87 |
| 1036F |
|
1,638 |
1,330 |
$0.20 |
| 3008F |
|
1,932 |
1,715 |
$0.05 |
| 1160F |
|
1,815 |
1,598 |
$0.04 |
| 1159F |
|
1,807 |
1,591 |
$0.03 |
| 1101F |
|
419 |
355 |
$0.02 |
| 3078F |
|
677 |
617 |
$0.01 |
| 1090F |
|
280 |
243 |
$0.01 |
| 3725F |
|
67 |
64 |
$0.01 |
| 1125F |
|
360 |
330 |
$0.00 |
| 1126F |
|
137 |
127 |
$0.00 |
| 1034F |
|
213 |
187 |
$0.00 |
| 1170F |
|
224 |
190 |
$0.00 |
| 3075F |
|
53 |
53 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
31 |
31 |
$0.00 |
| 3288F |
|
75 |
66 |
$0.00 |
| 3077F |
|
28 |
27 |
$0.00 |