| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,207 |
14,394 |
$632K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,767 |
1,548 |
$145K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
946 |
924 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,829 |
2,702 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
945 |
921 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
303 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,766 |
1,715 |
$27K |
| 87428 |
|
795 |
760 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
413 |
392 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
4,868 |
4,129 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
276 |
267 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,870 |
1,776 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
846 |
831 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
332 |
320 |
$11K |
| 76801 |
|
88 |
86 |
$10K |
| 87800 |
|
154 |
147 |
$7K |
| 87660 |
|
282 |
271 |
$5K |
| 87480 |
|
296 |
286 |
$4K |
| 87510 |
|
294 |
284 |
$4K |
| 81003 |
|
1,749 |
1,670 |
$3K |
| 90688 |
|
248 |
248 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
26 |
$2K |
| 82728 |
|
242 |
233 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
135 |
133 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
277 |
250 |
$2K |
| 90715 |
|
28 |
25 |
$729.65 |
| 80055 |
|
12 |
12 |
$504.65 |
| 90686 |
|
47 |
47 |
$492.66 |
| 90651 |
|
42 |
41 |
$447.72 |
| 85018 |
|
126 |
122 |
$326.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
104 |
$117.03 |
| 82950 |
|
14 |
13 |
$48.01 |
| 36416 |
|
206 |
199 |
$0.00 |