| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,019 |
12,567 |
$397K |
| 99444 |
|
5,596 |
1,679 |
$320K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,021 |
1,541 |
$53K |
| 99422 |
|
2,328 |
803 |
$50K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
937 |
707 |
$40K |
| 87428 |
|
1,015 |
749 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
320 |
297 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
560 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
127 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,697 |
3,002 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
972 |
717 |
$8K |
| 99000 |
|
1,270 |
1,129 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
835 |
655 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
542 |
515 |
$6K |
| 80053 |
Comprehensive metabolic panel |
3,284 |
3,043 |
$5K |
| 80061 |
Lipid panel |
2,408 |
2,245 |
$3K |
| 81000 |
|
3,603 |
3,179 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
583 |
528 |
$2K |
| 99091 |
|
197 |
184 |
$2K |
| 84480 |
|
622 |
561 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,541 |
1,444 |
$2K |
| 84439 |
|
630 |
564 |
$2K |
| 87807 |
|
237 |
154 |
$2K |
| 82044 |
|
1,894 |
1,770 |
$1K |
| 82570 |
|
1,890 |
1,767 |
$1K |
| 90658 |
|
124 |
119 |
$817.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
46 |
$579.62 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
12 |
$412.79 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
54 |
$359.42 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$254.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
18 |
$250.20 |
| 90756 |
|
292 |
280 |
$81.71 |
| 82947 |
|
60 |
52 |
$30.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
172 |
120 |
$29.08 |
| G0008 |
Administration of influenza virus vaccine |
318 |
303 |
$16.71 |
| 36415 |
Collection of venous blood by venipuncture |
2,988 |
2,734 |
$2.70 |
| 90651 |
|
14 |
14 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
17 |
15 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 36416 |
|
414 |
356 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$0.00 |
| 99458 |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
26 |
$0.00 |
| 99457 |
|
69 |
69 |
$0.00 |
| 1036F |
|
15 |
12 |
$0.00 |