| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,633 |
5,498 |
$565K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,857 |
828 |
$340K |
| 80053 |
Comprehensive metabolic panel |
2,495 |
1,813 |
$314K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,384 |
1,755 |
$223K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,618 |
433 |
$150K |
| 80305 |
|
1,934 |
1,304 |
$103K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
519 |
445 |
$92K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
139 |
103 |
$59K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
253 |
225 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
243 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
543 |
436 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
123 |
74 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
578 |
363 |
$24K |
| 84443 |
Thyroid stimulating hormone (TSH) |
216 |
176 |
$23K |
| J3490 |
Unclassified drugs |
1,799 |
507 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
86 |
67 |
$16K |
| 81000 |
|
152 |
119 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
71 |
26 |
$9K |
| 86140 |
|
96 |
61 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
12 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
396 |
197 |
$4K |
| 90686 |
|
103 |
98 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
34 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
117 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
37 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
32 |
$2K |
| 83735 |
|
34 |
24 |
$2K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
64 |
41 |
$836.77 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
72 |
41 |
$526.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$310.27 |
| 36415 |
Collection of venous blood by venipuncture |
1,638 |
1,191 |
$4.39 |
| G0008 |
Administration of influenza virus vaccine |
25 |
17 |
$0.00 |