| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,349 |
1,257 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,503 |
1,354 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,615 |
1,086 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
179 |
$7K |
| 86580 |
|
1,190 |
1,126 |
$7K |
| 0510 |
|
143 |
143 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
96 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
15 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
101 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
391 |
390 |
$2K |
| 90686 |
|
69 |
68 |
$878.58 |
| 0450 |
Emergency room services |
18 |
18 |
$765.54 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$333.45 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$333.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
18 |
$267.68 |
| 90688 |
|
14 |
14 |
$262.75 |
| 80061 |
Lipid panel |
23 |
23 |
$254.50 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$241.24 |
| 90632 |
|
13 |
13 |
$204.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$176.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
17 |
$99.60 |
| 99070 |
|
17 |
13 |
$40.90 |
| 81003 |
|
14 |
14 |
$30.49 |
| 90744 |
|
28 |
15 |
$9.27 |
| 90713 |
|
24 |
14 |
$9.23 |
| 90707 |
|
39 |
27 |
$0.39 |
| 90716 |
|
23 |
13 |
$0.23 |