| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,623 |
38,177 |
$4.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65,396 |
38,795 |
$98K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,914 |
2,379 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,009 |
775 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,729 |
1,247 |
$1K |
| 80053 |
Comprehensive metabolic panel |
2,460 |
1,363 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,761 |
1,242 |
$706.13 |
| 81002 |
|
9,202 |
6,431 |
$579.70 |
| 36415 |
Collection of venous blood by venipuncture |
6,268 |
3,831 |
$434.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,867 |
1,104 |
$404.36 |
| 81025 |
|
385 |
255 |
$228.51 |
| 80061 |
Lipid panel |
387 |
221 |
$190.00 |
| 80050 |
General health panel |
118 |
68 |
$177.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
92 |
$161.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
271 |
113 |
$147.18 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
44 |
16 |
$94.28 |
| 84439 |
|
89 |
35 |
$86.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
435 |
251 |
$75.18 |
| 0013A |
|
30 |
14 |
$62.08 |
| 82607 |
|
43 |
16 |
$47.96 |
| 90756 |
|
25 |
12 |
$45.58 |
| 81003 |
|
96 |
62 |
$1.79 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,998 |
2,912 |
$0.00 |
| 99441 |
|
104 |
58 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
321 |
231 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
204 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
98 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
17 |
12 |
$0.00 |