| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,290 |
1,929 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
828 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,398 |
2,256 |
$17K |
| 80053 |
Comprehensive metabolic panel |
2,142 |
2,037 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,414 |
1,385 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,269 |
1,178 |
$5K |
| 81025 |
|
672 |
627 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
174 |
161 |
$3K |
| H0049 |
Alcohol and/or drug screening |
134 |
129 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
460 |
390 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
31 |
$910.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$714.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
109 |
$682.42 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
65 |
60 |
$587.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
60 |
$344.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
40 |
$221.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
25 |
$189.07 |
| 3008F |
|
6,803 |
5,621 |
$148.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$132.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$68.90 |
| 93000 |
|
13 |
12 |
$61.08 |
| 80061 |
Lipid panel |
16 |
15 |
$53.58 |
| 81003 |
|
15 |
15 |
$2.02 |
| S9452 |
Nutrition classes, non-physician provider, per session |
164 |
150 |
$1.50 |
| 1159F |
|
1,098 |
947 |
$0.00 |
| 3016F |
|
163 |
148 |
$0.00 |
| 1160F |
|
1,093 |
943 |
$0.00 |
| 1033F |
|
985 |
864 |
$0.00 |
| 3078F |
|
2,893 |
2,488 |
$0.00 |
| 3077F |
|
151 |
130 |
$0.00 |
| 96160 |
|
57 |
56 |
$0.00 |
| 3075F |
|
551 |
507 |
$0.00 |
| 3079F |
|
1,816 |
1,568 |
$0.00 |
| 3074F |
|
3,511 |
3,043 |
$0.00 |
| 1034F |
|
286 |
239 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 2010F |
|
891 |
789 |
$0.00 |
| 3044F |
|
308 |
254 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
57 |
52 |
$0.00 |
| 3080F |
|
17 |
15 |
$0.00 |