| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,291 |
4,565 |
$414K |
| 99199 |
Unlisted special service, procedure or report |
58,661 |
42,400 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,337 |
1,994 |
$108K |
| 99215 |
Prolong outpt/office vis |
432 |
366 |
$42K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
606 |
580 |
$38K |
| 81002 |
|
4,652 |
4,112 |
$10K |
| 99401 |
|
431 |
376 |
$8K |
| 81025 |
|
1,212 |
1,113 |
$8K |
| 99406 |
|
733 |
654 |
$8K |
| 99458 |
|
164 |
152 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
59 |
$7K |
| 99457 |
|
164 |
152 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,448 |
2,265 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
212 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
220 |
191 |
$4K |
| 96127 |
|
692 |
623 |
$4K |
| 94010 |
|
188 |
171 |
$3K |
| 82962 |
|
1,252 |
1,130 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
178 |
166 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
153 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
175 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
187 |
173 |
$2K |
| 99443 |
|
32 |
22 |
$2K |
| 82040 |
|
172 |
163 |
$2K |
| 82150 |
|
171 |
162 |
$1K |
| 95923 |
|
17 |
17 |
$1K |
| 80051 |
|
161 |
154 |
$1K |
| 80061 |
Lipid panel |
85 |
77 |
$1K |
| 94060 |
|
24 |
24 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
112 |
104 |
$775.98 |
| 92551 |
|
246 |
228 |
$696.67 |
| 93000 |
|
55 |
51 |
$662.26 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
27 |
$591.50 |
| 92082 |
|
16 |
16 |
$492.74 |
| 92250 |
|
16 |
16 |
$230.46 |
| 99490 |
Ccm add 20min |
91 |
78 |
$211.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$178.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
29 |
$61.08 |
| 82947 |
|
168 |
154 |
$39.29 |
| 82977 |
|
171 |
162 |
$38.70 |
| 84075 |
|
172 |
163 |
$14.97 |
| 82565 |
|
161 |
152 |
$6.32 |
| 84550 |
|
159 |
151 |
$1.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
75 |
56 |
$0.00 |
| 99000 |
|
273 |
226 |
$0.00 |
| 99172 |
|
325 |
305 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
67 |
48 |
$0.00 |
| 99439 |
|
91 |
78 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
92 |
63 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 82310 |
|
159 |
151 |
$0.00 |
| 84155 |
|
171 |
162 |
$0.00 |
| 82247 |
|
171 |
162 |
$0.00 |
| 84460 |
|
179 |
165 |
$0.00 |
| 84450 |
|
179 |
165 |
$0.00 |
| 84520 |
|
160 |
151 |
$0.00 |