| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
1,289 |
1,234 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,236 |
1,097 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
417 |
392 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
597 |
549 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,386 |
1,294 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
197 |
$10K |
| T1015 |
Clinic visit/encounter, all-inclusive |
145 |
67 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,820 |
1,736 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,122 |
1,019 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
275 |
241 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
142 |
138 |
$2K |
| 80061 |
Lipid panel |
150 |
120 |
$1K |
| 81001 |
|
301 |
282 |
$910.83 |
| 80076 |
|
110 |
90 |
$898.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$886.54 |
| 90682 |
|
15 |
14 |
$673.50 |
| 90688 |
|
36 |
36 |
$554.04 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$267.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
13 |
$254.38 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
34 |
31 |
$198.90 |
| 81003 |
|
46 |
45 |
$97.98 |
| 81025 |
|
14 |
12 |
$94.08 |
| 1159F |
|
2,747 |
2,488 |
$13.67 |
| 1160F |
|
2,521 |
2,274 |
$13.66 |
| 3074F |
|
847 |
761 |
$4.10 |
| 3078F |
|
783 |
718 |
$3.66 |
| 3079F |
|
541 |
501 |
$2.60 |
| 3075F |
|
97 |
92 |
$0.53 |
| 3077F |
|
15 |
14 |
$0.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
62 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
828 |
721 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |