| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,436 |
24,005 |
$865K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,640 |
1,429 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,545 |
1,273 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
965 |
912 |
$34K |
| 80053 |
Comprehensive metabolic panel |
3,013 |
2,818 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
317 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,756 |
2,558 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
4,557 |
3,991 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,079 |
993 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
248 |
222 |
$14K |
| 80061 |
Lipid panel |
1,353 |
1,281 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
439 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
568 |
508 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
103 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
496 |
470 |
$6K |
| 87428 |
|
113 |
109 |
$4K |
| 90686 |
|
132 |
122 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
271 |
252 |
$2K |
| 76830 |
Ultrasound, transvaginal |
29 |
25 |
$1K |
| 81025 |
|
229 |
211 |
$1K |
| 81003 |
|
2,015 |
1,764 |
$964.87 |
| 95117 |
|
61 |
37 |
$626.56 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
39 |
$502.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
83 |
78 |
$496.68 |
| 82274 |
|
42 |
40 |
$462.96 |
| 90633 |
|
143 |
140 |
$449.89 |
| 90658 |
|
27 |
27 |
$331.78 |
| 82044 |
|
87 |
80 |
$318.66 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
40 |
$314.33 |
| 90651 |
|
39 |
38 |
$234.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$149.38 |
| 82270 |
|
47 |
40 |
$127.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
25 |
$67.40 |
| 80076 |
|
15 |
13 |
$60.18 |
| 36416 |
|
13 |
13 |
$0.00 |