| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,869 |
36,665 |
$1.84M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,555 |
15,510 |
$1.02M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,020 |
7,849 |
$256K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,765 |
6,002 |
$215K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29,358 |
26,821 |
$181K |
| 99348 |
|
4,288 |
3,795 |
$177K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,849 |
5,500 |
$152K |
| 87070 |
|
28,522 |
26,113 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,175 |
2,050 |
$114K |
| 87184 |
|
28,534 |
26,094 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,972 |
2,538 |
$84K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,188 |
1,179 |
$64K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
755 |
715 |
$59K |
| 99342 |
|
1,289 |
1,287 |
$50K |
| 10060 |
|
437 |
410 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,038 |
1,033 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
236 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,694 |
4,286 |
$20K |
| 10120 |
|
198 |
190 |
$14K |
| 69210 |
|
832 |
526 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
218 |
215 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
537 |
534 |
$7K |
| 0001A |
|
138 |
138 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,377 |
4,280 |
$5K |
| 13152 |
|
16 |
16 |
$5K |
| 90688 |
|
249 |
248 |
$3K |
| 99349 |
|
50 |
50 |
$3K |
| 90686 |
|
203 |
203 |
$3K |
| 11730 |
|
62 |
60 |
$3K |
| 0011A |
|
66 |
66 |
$3K |
| 12001 |
|
43 |
43 |
$3K |
| 99343 |
|
38 |
38 |
$2K |
| 0002A |
|
30 |
30 |
$1K |
| 0012A |
|
29 |
29 |
$1K |
| 99347 |
|
43 |
42 |
$1K |
| 86769 |
|
30 |
30 |
$1K |
| 99441 |
|
48 |
47 |
$1K |
| 81002 |
|
576 |
538 |
$979.66 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
26 |
$916.14 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$882.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
185 |
172 |
$816.78 |
| 0031A |
|
14 |
14 |
$560.00 |
| 86580 |
|
116 |
115 |
$557.40 |
| 87807 |
|
52 |
52 |
$252.15 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
38 |
13 |
$236.50 |
| 99000 |
|
213 |
195 |
$0.00 |
| 99024 |
|
15 |
15 |
$0.00 |