| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,905 |
6,315 |
$298K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,156 |
2,091 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,938 |
1,863 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
917 |
895 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,495 |
1,448 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
74 |
$2K |
| 81003 |
|
963 |
903 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
253 |
246 |
$1K |
| 80047 |
|
204 |
198 |
$877.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
62 |
$677.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
201 |
194 |
$443.78 |
| 36415 |
Collection of venous blood by venipuncture |
226 |
216 |
$240.66 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$13.23 |
| S5000 |
Prescription drug, generic |
25 |
25 |
$0.00 |