| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,695 |
7,714 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,422 |
3,917 |
$254K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
621 |
572 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
711 |
679 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
454 |
435 |
$22K |
| 99215 |
Prolong outpt/office vis |
257 |
210 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
580 |
547 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
827 |
790 |
$10K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
62 |
62 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
154 |
140 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
169 |
101 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
79 |
78 |
$1K |
| 96127 |
|
214 |
199 |
$664.31 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$592.30 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$303.15 |
| 99307 |
|
12 |
12 |
$121.83 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
40 |
40 |
$109.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$83.22 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
52 |
$61.45 |
| 1126F |
|
3,528 |
3,069 |
$33.41 |
| 81003 |
|
57 |
52 |
$32.00 |
| 1034F |
|
141 |
117 |
$28.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$27.26 |
| 1125F |
|
2,199 |
1,875 |
$24.40 |
| 1036F |
|
1,330 |
1,097 |
$21.71 |
| 3075F |
|
511 |
450 |
$20.00 |
| 3079F |
|
1,115 |
975 |
$20.00 |
| 3078F |
|
4,879 |
4,149 |
$0.06 |
| 3074F |
|
5,333 |
4,489 |
$0.06 |
| 1159F |
|
5,239 |
4,312 |
$0.05 |
| 3008F |
|
2,195 |
1,876 |
$0.04 |
| 1160F |
|
961 |
824 |
$0.03 |
| 3077F |
|
47 |
41 |
$0.00 |
| 3725F |
|
51 |
45 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.00 |