| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
3,788 |
3,279 |
$124K |
| 99050 |
|
2,141 |
1,942 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
4,277 |
2,111 |
$38K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
882 |
435 |
$34K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
208 |
157 |
$21K |
| 72100 |
|
1,377 |
639 |
$16K |
| 90658 |
|
2,110 |
2,016 |
$14K |
| 76536 |
|
342 |
158 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
75 |
67 |
$8K |
| 76770 |
|
194 |
91 |
$7K |
| 76830 |
Ultrasound, transvaginal |
184 |
91 |
$6K |
| 72040 |
|
426 |
185 |
$5K |
| 0013A |
|
235 |
235 |
$4K |
| 0003A |
|
263 |
263 |
$4K |
| 76641 |
|
86 |
43 |
$3K |
| 73560 |
|
242 |
106 |
$3K |
| 74018 |
|
260 |
126 |
$2K |
| 76642 |
|
26 |
13 |
$2K |
| 0071A |
|
154 |
154 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23 |
22 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
268 |
$1K |
| 0001A |
|
154 |
154 |
$880.00 |
| 0072A |
|
111 |
111 |
$800.00 |
| 0004A |
|
17 |
17 |
$680.00 |
| 90649 |
|
191 |
177 |
$636.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
110 |
110 |
$566.44 |
| 0002A |
|
131 |
131 |
$560.00 |
| 73120 |
|
50 |
25 |
$476.96 |
| 80061 |
Lipid panel |
121 |
121 |
$451.36 |
| G0008 |
Administration of influenza virus vaccine |
799 |
719 |
$420.66 |
| 80053 |
Comprehensive metabolic panel |
102 |
102 |
$368.88 |
| 70250 |
|
26 |
13 |
$350.64 |
| 90734 |
|
98 |
87 |
$348.00 |
| 90656 |
|
29 |
25 |
$327.24 |
| 82274 |
|
47 |
47 |
$325.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
170 |
164 |
$299.84 |
| 90715 |
|
71 |
71 |
$264.00 |
| 90670 |
|
36 |
36 |
$144.00 |
| 71045 |
Radiologic examination, chest; single view |
24 |
12 |
$143.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
77 |
$140.28 |
| 81001 |
|
144 |
142 |
$121.92 |
| 0124A |
|
54 |
53 |
$120.00 |
| 82043 |
|
52 |
52 |
$111.36 |
| 90647 |
|
26 |
26 |
$104.00 |
| 82570 |
|
16 |
16 |
$99.68 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
32 |
$84.15 |
| 91300 |
|
636 |
548 |
$80.00 |
| 90655 |
|
15 |
15 |
$60.00 |
| 3048F |
|
15 |
12 |
$39.20 |
| 3078F |
|
40 |
33 |
$29.40 |
| 3074F |
|
40 |
33 |
$29.40 |
| 82947 |
|
13 |
13 |
$0.00 |
| 90621 |
|
17 |
12 |
$0.00 |
| 91301 |
|
457 |
357 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
45 |
45 |
$0.00 |
| 84153 |
|
20 |
20 |
$0.00 |
| 85651 |
|
14 |
14 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
37 |
36 |
$0.00 |