| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,061 |
6,343 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
1,964 |
$100K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
223 |
135 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,910 |
2,113 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,662 |
4,174 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
407 |
328 |
$23K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
605 |
134 |
$23K |
| 86003 |
|
139 |
98 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,952 |
749 |
$16K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
484 |
117 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
557 |
170 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
282 |
236 |
$8K |
| 86403 |
|
943 |
775 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
395 |
339 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
569 |
451 |
$5K |
| 80061 |
Lipid panel |
630 |
519 |
$4K |
| 87581 |
|
230 |
132 |
$4K |
| 87486 |
|
225 |
133 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
110 |
$4K |
| 87500 |
|
220 |
116 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
463 |
126 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
349 |
307 |
$3K |
| 87498 |
|
447 |
116 |
$3K |
| 87541 |
|
445 |
116 |
$3K |
| 87641 |
|
440 |
115 |
$3K |
| 87640 |
|
469 |
115 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
30 |
$3K |
| 87496 |
|
327 |
104 |
$2K |
| 86769 |
|
83 |
76 |
$2K |
| 87532 |
|
331 |
105 |
$2K |
| 81003 |
|
1,606 |
1,272 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,342 |
1,130 |
$2K |
| 92551 |
|
197 |
178 |
$1K |
| 80053 |
Comprehensive metabolic panel |
134 |
119 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,055 |
770 |
$1K |
| 90686 |
|
242 |
204 |
$970.91 |
| 90756 |
|
134 |
124 |
$957.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
27 |
$913.15 |
| 99051 |
|
79 |
68 |
$863.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
216 |
168 |
$720.42 |
| 80305 |
|
140 |
114 |
$704.66 |
| 80050 |
General health panel |
35 |
24 |
$687.52 |
| 94760 |
|
774 |
467 |
$684.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
817 |
441 |
$678.76 |
| 99326 |
|
18 |
18 |
$370.59 |
| 81025 |
|
51 |
38 |
$246.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
983 |
746 |
$235.95 |
| 99173 |
|
151 |
137 |
$213.16 |
| 90656 |
|
14 |
13 |
$160.11 |
| 99401 |
|
15 |
12 |
$154.48 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
12 |
$126.13 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
15 |
$123.24 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$85.67 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
27 |
14 |
$65.56 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
13 |
$8.01 |
| 36416 |
|
673 |
482 |
$1.00 |
| 87632 |
|
15 |
13 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 87631 |
|
17 |
15 |
$0.00 |
| 90715 |
|
15 |
12 |
$0.00 |