| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,618 |
3,913 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,352 |
2,158 |
$176K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
647 |
604 |
$23K |
| 99215 |
Prolong outpt/office vis |
61 |
60 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
131 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
366 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
361 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
49 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
311 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
50 |
$3K |
| 90756 |
|
127 |
127 |
$3K |
| 81003 |
|
1,496 |
1,457 |
$2K |
| 80061 |
Lipid panel |
158 |
154 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
597 |
574 |
$931.96 |
| 90686 |
|
56 |
55 |
$913.86 |
| 99443 |
|
12 |
12 |
$808.04 |
| 90682 |
|
16 |
16 |
$699.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
80 |
$526.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
285 |
255 |
$379.80 |
| 82947 |
|
85 |
83 |
$270.17 |
| 99406 |
|
28 |
26 |
$199.68 |
| 90688 |
|
16 |
16 |
$178.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
203 |
183 |
$157.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$148.41 |
| 81001 |
|
54 |
53 |
$116.54 |
| 81025 |
|
14 |
14 |
$78.67 |
| 81002 |
|
25 |
22 |
$48.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
79 |
$31.84 |
| 3074F |
|
378 |
373 |
$0.00 |
| 3008F |
|
1,376 |
1,317 |
$0.00 |
| 3079F |
|
182 |
181 |
$0.00 |
| 2000F |
|
956 |
928 |
$0.00 |
| 1126F |
|
225 |
218 |
$0.00 |
| 1125F |
|
138 |
130 |
$0.00 |
| 4037F |
|
78 |
78 |
$0.00 |
| 3075F |
|
38 |
38 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| 3016F |
|
917 |
885 |
$0.00 |
| 1160F |
|
318 |
294 |
$0.00 |
| 3725F |
|
1,085 |
1,057 |
$0.00 |
| 3078F |
|
171 |
168 |
$0.00 |
| 1159F |
|
293 |
269 |
$0.00 |
| 4004F |
|
113 |
104 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |