| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,339 |
5,462 |
$322K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,506 |
2,259 |
$158K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
464 |
449 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
698 |
428 |
$6K |
| 87428 |
|
66 |
62 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
28 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
53 |
45 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
30 |
$3K |
| 90461 |
|
164 |
159 |
$3K |
| 99307 |
|
515 |
307 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
210 |
101 |
$3K |
| 81003 |
|
1,157 |
750 |
$3K |
| 97802 |
|
74 |
71 |
$2K |
| 92015 |
Determination of refractive state |
149 |
123 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
25 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
246 |
234 |
$2K |
| 90686 |
|
352 |
333 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
660 |
628 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| 80053 |
Comprehensive metabolic panel |
122 |
121 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
73 |
69 |
$950.37 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$745.16 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$597.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$494.17 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$426.67 |
| 80061 |
Lipid panel |
39 |
38 |
$410.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
56 |
$369.34 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$260.35 |
| 99490 |
Ccm add 20min |
111 |
107 |
$166.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$111.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$84.69 |
| 1159F |
|
47 |
43 |
$0.00 |
| 3008F |
|
57 |
53 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
13 |
$0.00 |