| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,952 |
10,766 |
$630K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,730 |
5,336 |
$285K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,213 |
5,224 |
$73K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,171 |
8,154 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,465 |
1,843 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,281 |
1,085 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
407 |
345 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
11,548 |
9,183 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,440 |
1,089 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,187 |
1,045 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
604 |
529 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
98 |
$9K |
| 86140 |
|
2,345 |
1,857 |
$9K |
| 87420 |
|
481 |
389 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
89 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,574 |
2,041 |
$3K |
| 92551 |
|
423 |
366 |
$3K |
| 80076 |
|
2,030 |
1,599 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| 90716 |
|
41 |
41 |
$2K |
| 85027 |
|
239 |
225 |
$1K |
| 87631 |
|
13 |
13 |
$1K |
| 86308 |
|
303 |
256 |
$1K |
| 99460 |
|
13 |
12 |
$1K |
| 90686 |
|
313 |
274 |
$1K |
| 90707 |
|
31 |
28 |
$884.62 |
| 99462 |
|
34 |
14 |
$799.80 |
| 99173 |
|
384 |
325 |
$705.98 |
| 90670 |
|
48 |
38 |
$584.55 |
| 81002 |
|
187 |
165 |
$326.14 |
| 80305 |
|
65 |
62 |
$230.08 |
| 83735 |
|
501 |
372 |
$224.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$210.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
213 |
178 |
$197.43 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$179.54 |
| 90473 |
|
12 |
12 |
$146.16 |
| 83655 |
|
12 |
12 |
$134.25 |
| 82728 |
|
43 |
37 |
$128.23 |
| 82948 |
|
74 |
67 |
$124.93 |
| 80061 |
Lipid panel |
164 |
132 |
$120.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
745 |
599 |
$57.90 |
| 82043 |
|
107 |
92 |
$53.16 |
| 96161 |
|
12 |
12 |
$40.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
26 |
$36.63 |
| 82465 |
|
87 |
84 |
$35.63 |
| 84478 |
|
85 |
82 |
$17.57 |
| 82550 |
|
12 |
12 |
$5.01 |
| 82570 |
|
47 |
37 |
$0.00 |
| 90700 |
|
17 |
17 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 36416 |
|
193 |
156 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
14 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
75 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
43 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |