| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,958 |
2,650 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,488 |
1,411 |
$622K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
737 |
677 |
$344K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
806 |
728 |
$339K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,351 |
1,250 |
$329K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
305 |
283 |
$132K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,147 |
1,138 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,976 |
1,897 |
$72K |
| 90686 |
|
598 |
596 |
$64K |
| D0140 |
Limited oral evaluation - problem focused |
201 |
186 |
$60K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
109 |
95 |
$52K |
| 99442 |
|
134 |
129 |
$49K |
| 99441 |
|
105 |
102 |
$38K |
| D0220 |
Intraoral - periapical first radiographic image |
199 |
174 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
2,376 |
2,193 |
$37K |
| 80061 |
Lipid panel |
705 |
693 |
$31K |
| 99443 |
|
62 |
60 |
$22K |
| 80053 |
Comprehensive metabolic panel |
1,899 |
1,831 |
$21K |
| 81003 |
|
1,540 |
1,481 |
$16K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$15K |
| 0011A |
|
31 |
31 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
112 |
$13K |
| D9215 |
|
74 |
60 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,731 |
1,695 |
$8K |
| 0003A |
|
13 |
13 |
$8K |
| 0064A |
|
18 |
18 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
755 |
738 |
$6K |
| 92015 |
Determination of refractive state |
238 |
237 |
$4K |
| 0134A |
|
33 |
33 |
$3K |
| 90651 |
|
44 |
44 |
$3K |
| 82043 |
|
522 |
513 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$3K |
| 80305 |
|
31 |
31 |
$3K |
| 92002 |
|
27 |
27 |
$3K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$2K |
| 90734 |
|
36 |
36 |
$1K |
| 0124A |
|
23 |
23 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
88 |
88 |
$882.00 |
| 87210 |
|
13 |
13 |
$640.00 |
| D1330 |
|
50 |
45 |
$479.00 |
| 90688 |
|
45 |
45 |
$427.00 |
| 83721 |
|
519 |
513 |
$39.48 |
| 82570 |
|
30 |
29 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
218 |
105 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
109 |
105 |
$0.00 |
| 81025 |
|
80 |
79 |
$0.00 |
| 86709 |
|
12 |
12 |
$0.00 |
| D0460 |
|
17 |
13 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 87486 |
|
109 |
105 |
$0.00 |
| 87581 |
|
109 |
105 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 83986 |
|
30 |
29 |
$0.00 |
| 86706 |
|
12 |
12 |
$0.00 |