| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,304 |
5,424 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,914 |
3,286 |
$236K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
380 |
344 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,598 |
1,423 |
$11K |
| 99215 |
Prolong outpt/office vis |
119 |
100 |
$8K |
| 80053 |
Comprehensive metabolic panel |
868 |
798 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
586 |
322 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
220 |
209 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
509 |
402 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
603 |
433 |
$3K |
| 80061 |
Lipid panel |
318 |
297 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
230 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
42 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
249 |
160 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
63 |
$3K |
| 84439 |
|
296 |
275 |
$2K |
| 87428 |
|
76 |
54 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
109 |
107 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$755.48 |
| 81003 |
|
287 |
259 |
$624.11 |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
39 |
$624.10 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
70 |
45 |
$522.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
30 |
$521.25 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
13 |
$178.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
51 |
$98.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$4.72 |
| 3074F |
|
5,771 |
4,895 |
$0.00 |
| 3079F |
|
1,224 |
1,079 |
$0.00 |
| 3075F |
|
159 |
153 |
$0.00 |
| 1111F |
|
33 |
29 |
$0.00 |
| 3044F |
|
50 |
50 |
$0.00 |
| 3078F |
|
4,260 |
3,618 |
$0.00 |
| 1159F |
|
205 |
192 |
$0.00 |
| 1160F |
|
203 |
190 |
$0.00 |
| 3077F |
|
27 |
13 |
$0.00 |