| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,532 |
7,982 |
$478K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,278 |
1,053 |
$165K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
748 |
642 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,332 |
2,005 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
545 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,045 |
901 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,077 |
2,275 |
$32K |
| 87428 |
|
695 |
570 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
200 |
199 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
260 |
249 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
64 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
112 |
58 |
$5K |
| A0425 |
Ground mileage, per statute mile |
185 |
107 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$99.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$93.10 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
44 |
$85.34 |
| 81002 |
|
39 |
25 |
$63.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$52.63 |
| 80053 |
Comprehensive metabolic panel |
354 |
291 |
$12.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
415 |
358 |
$9.60 |
| 86140 |
|
136 |
117 |
$6.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12 |
12 |
$0.00 |