| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,204 |
12,753 |
$1.06M |
| 99199 |
Unlisted special service, procedure or report |
29,902 |
19,927 |
$177K |
| 80305 |
|
3,991 |
3,542 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,015 |
872 |
$17K |
| 99051 |
|
644 |
567 |
$15K |
| 80061 |
Lipid panel |
1,171 |
1,054 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
112 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,602 |
1,435 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
668 |
501 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
74 |
$6K |
| 99406 |
|
730 |
559 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
245 |
209 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
347 |
158 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
107 |
84 |
$3K |
| 81003 |
|
1,536 |
1,333 |
$3K |
| 94010 |
|
125 |
117 |
$2K |
| 93000 |
|
182 |
167 |
$2K |
| 90674 |
|
159 |
123 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
125 |
$2K |
| 99443 |
|
29 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
167 |
164 |
$1K |
| 99442 |
|
27 |
25 |
$991.39 |
| 90686 |
|
174 |
161 |
$975.70 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
86 |
77 |
$502.88 |
| 99401 |
|
20 |
16 |
$494.05 |
| 81025 |
|
41 |
28 |
$226.20 |
| 90734 |
|
12 |
12 |
$119.01 |
| 92552 |
|
182 |
139 |
$64.60 |
| 99173 |
|
260 |
206 |
$11.00 |