| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,377 |
18,722 |
$689K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,069 |
915 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,439 |
2,986 |
$102K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
341 |
324 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,557 |
1,328 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
11,003 |
9,312 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,432 |
2,971 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
390 |
340 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
244 |
195 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
292 |
266 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
342 |
264 |
$4K |
| 90682 |
|
140 |
97 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
240 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 90688 |
|
225 |
209 |
$2K |
| 87400 |
|
166 |
74 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
159 |
141 |
$1K |
| 1159F |
|
946 |
816 |
$1K |
| 81001 |
|
1,088 |
938 |
$953.56 |
| 3074F |
|
476 |
410 |
$950.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
73 |
$803.86 |
| 3008F |
|
324 |
294 |
$770.00 |
| 80053 |
Comprehensive metabolic panel |
1,248 |
1,090 |
$689.93 |
| 3078F |
|
449 |
397 |
$664.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$332.13 |
| 80061 |
Lipid panel |
641 |
533 |
$247.28 |
| G0008 |
Administration of influenza virus vaccine |
242 |
232 |
$148.82 |
| 90756 |
|
14 |
12 |
$123.55 |
| 1160F |
|
28 |
26 |
$90.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
115 |
101 |
$54.95 |
| 3079F |
|
30 |
26 |
$50.00 |
| 3077F |
|
14 |
12 |
$40.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
54 |
$35.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
39 |
$13.11 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
12 |
$0.00 |
| 1030F |
|
42 |
37 |
$0.00 |
| 1022F |
|
30 |
25 |
$0.00 |
| 1125F |
|
77 |
72 |
$0.00 |
| 1036F |
|
68 |
64 |
$0.00 |
| 1101F |
|
40 |
38 |
$0.00 |
| 1170F |
|
91 |
85 |
$0.00 |
| 91301 |
|
21 |
15 |
$0.00 |
| 3017F |
|
31 |
30 |
$0.00 |
| 4037F |
|
18 |
16 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
15 |
$0.00 |
| 2022F |
|
15 |
14 |
$0.00 |
| 90662 |
|
146 |
138 |
$0.00 |
| 1090F |
|
34 |
27 |
$0.00 |
| 3725F |
|
14 |
13 |
$0.00 |