| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,583 |
34,445 |
$2.56M |
| 87428 |
|
8,066 |
7,054 |
$316K |
| 99199 |
Unlisted special service, procedure or report |
30,653 |
19,947 |
$172K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,119 |
6,210 |
$89K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,673 |
1,221 |
$56K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
291 |
268 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,659 |
1,217 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
270 |
216 |
$9K |
| 81003 |
|
1,518 |
1,372 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113 |
95 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
930 |
836 |
$4K |
| 81025 |
|
499 |
454 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
48 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
309 |
236 |
$1K |
| 87807 |
|
73 |
68 |
$1K |
| 90686 |
|
144 |
96 |
$928.34 |
| 71046 |
Radiologic examination, chest; 2 views |
203 |
172 |
$819.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
41 |
$734.93 |
| 74018 |
|
51 |
43 |
$557.28 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
119 |
112 |
$387.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$118.44 |
| 90656 |
|
33 |
27 |
$81.39 |
| 85018 |
|
18 |
14 |
$34.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
15 |
$15.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$0.00 |