| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
138 |
124 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
191 |
181 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
269 |
249 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,612 |
1,412 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
184 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
154 |
153 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
42 |
37 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
96 |
62 |
$693.77 |
| 80053 |
Comprehensive metabolic panel |
993 |
913 |
$578.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
803 |
731 |
$356.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
190 |
$332.08 |
| 36415 |
Collection of venous blood by venipuncture |
548 |
526 |
$191.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,123 |
979 |
$175.64 |
| 99406 |
|
625 |
482 |
$134.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
458 |
455 |
$90.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
639 |
629 |
$34.55 |
| 81001 |
|
357 |
345 |
$33.17 |
| 80061 |
Lipid panel |
714 |
708 |
$25.54 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19 |
13 |
$21.19 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$18.00 |
| 85027 |
|
82 |
69 |
$15.87 |
| 86140 |
|
52 |
50 |
$9.74 |
| 85610 |
|
29 |
26 |
$8.28 |
| 87088 |
|
44 |
44 |
$6.78 |
| 87070 |
|
15 |
12 |
$5.40 |
| 81003 |
|
13 |
13 |
$3.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
93 |
91 |
$1.82 |
| 86592 |
|
59 |
58 |
$0.00 |
| 92551 |
|
96 |
96 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$0.00 |
| 85652 |
|
53 |
52 |
$0.00 |
| 85018 |
|
96 |
96 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
154 |
153 |
$0.00 |
| 84480 |
|
100 |
99 |
$0.00 |
| 84436 |
|
105 |
104 |
$0.00 |
| 86060 |
|
16 |
16 |
$0.00 |
| 3008F |
|
67 |
67 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
83 |
83 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$0.00 |
| 90686 |
|
22 |
22 |
$0.00 |
| 81000 |
|
26 |
26 |
$0.00 |
| 84550 |
|
93 |
93 |
$0.00 |
| 99173 |
|
149 |
149 |
$0.00 |
| 81002 |
|
123 |
120 |
$0.00 |
| 92552 |
|
82 |
82 |
$0.00 |
| 86431 |
|
43 |
43 |
$0.00 |
| 86038 |
|
48 |
47 |
$0.00 |
| 96160 |
|
27 |
27 |
$0.00 |