| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
135 |
129 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
69 |
63 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,371 |
1,205 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
83 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
31 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
132 |
129 |
$1K |
| 80053 |
Comprehensive metabolic panel |
574 |
550 |
$240.45 |
| 71045 |
Radiologic examination, chest; single view |
20 |
12 |
$143.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
185 |
167 |
$128.70 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26 |
16 |
$68.75 |
| 81001 |
|
407 |
394 |
$52.19 |
| 92499 |
|
46 |
46 |
$50.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
345 |
288 |
$38.43 |
| 92551 |
|
237 |
237 |
$30.60 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
350 |
339 |
$26.67 |
| 80076 |
|
39 |
36 |
$24.43 |
| 85027 |
|
319 |
314 |
$8.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
499 |
498 |
$7.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
473 |
470 |
$6.24 |
| 86592 |
|
72 |
71 |
$0.77 |
| 86580 |
|
144 |
142 |
$0.01 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
131 |
128 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
228 |
216 |
$0.00 |
| 87088 |
|
179 |
173 |
$0.00 |
| 86803 |
|
68 |
67 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
155 |
154 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
172 |
$0.00 |
| 81000 |
|
77 |
77 |
$0.00 |
| 85018 |
|
162 |
162 |
$0.00 |
| 85652 |
|
30 |
27 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
45 |
45 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 84436 |
|
31 |
31 |
$0.00 |
| 82947 |
|
104 |
104 |
$0.00 |
| 80061 |
Lipid panel |
538 |
533 |
$0.00 |
| 90461 |
|
60 |
60 |
$0.00 |
| 83655 |
|
156 |
154 |
$0.00 |
| 99173 |
|
25 |
25 |
$0.00 |
| 82465 |
|
87 |
87 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 84439 |
|
54 |
54 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
192 |
191 |
$0.00 |
| 82248 |
|
59 |
57 |
$0.00 |
| 92081 |
|
20 |
20 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 84550 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$0.00 |