| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,578 |
2,578 |
$205K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
703 |
460 |
$116K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,119 |
490 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
685 |
$33K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
625 |
439 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
901 |
729 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,286 |
1,142 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,110 |
1,549 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
506 |
453 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
848 |
649 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
159 |
123 |
$8K |
| 80061 |
Lipid panel |
822 |
665 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
109 |
89 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
12 |
$4K |
| 82962 |
|
992 |
796 |
$2K |
| 99051 |
|
115 |
101 |
$1K |
| 86308 |
|
242 |
192 |
$994.82 |
| 87634 |
|
25 |
21 |
$845.00 |
| 81002 |
|
324 |
274 |
$670.56 |
| J0720 |
Injection, chloramphenicol sodium succinate, up to 1 gm |
24 |
15 |
$432.34 |
| 87581 |
|
37 |
31 |
$422.29 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
37 |
31 |
$422.29 |
| 92551 |
|
60 |
47 |
$305.99 |
| 87899 |
|
21 |
13 |
$183.82 |
| 90474 |
|
13 |
13 |
$118.69 |
| 83655 |
|
17 |
13 |
$108.36 |
| 94760 |
|
166 |
124 |
$104.76 |
| 99173 |
|
35 |
31 |
$54.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
15 |
$8.68 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90686 |
|
185 |
175 |
$0.00 |
| 99000 |
|
19 |
15 |
$0.00 |
| 90648 |
|
69 |
65 |
$0.00 |
| 90670 |
|
74 |
73 |
$0.00 |
| 90700 |
|
143 |
139 |
$0.00 |
| 90713 |
|
58 |
58 |
$0.00 |
| 90685 |
|
33 |
30 |
$0.00 |