| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,490 |
948 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
346 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
120 |
95 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
795 |
492 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
107 |
88 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
70 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
42 |
$2K |
| 80050 |
General health panel |
37 |
32 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
363 |
245 |
$2K |
| 96127 |
|
679 |
297 |
$1K |
| 80053 |
Comprehensive metabolic panel |
233 |
168 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
65 |
$1K |
| 80061 |
Lipid panel |
140 |
101 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
95 |
74 |
$1K |
| W0037 |
|
305 |
305 |
$915.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
13 |
$567.49 |
| 99173 |
|
34 |
28 |
$339.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
60 |
$178.74 |
| 90686 |
|
23 |
13 |
$18.47 |