| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,063 |
9,290 |
$761K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,134 |
5,656 |
$641K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,774 |
1,622 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
709 |
708 |
$63K |
| 99215 |
Prolong outpt/office vis |
342 |
341 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
458 |
457 |
$45K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
358 |
343 |
$27K |
| 99385 |
|
255 |
255 |
$26K |
| 99442 |
|
260 |
251 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,411 |
1,353 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,178 |
1,124 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,604 |
1,584 |
$16K |
| 90756 |
|
440 |
437 |
$13K |
| 99496 |
|
73 |
72 |
$10K |
| 99443 |
|
106 |
103 |
$8K |
| 81003 |
|
3,678 |
3,614 |
$7K |
| 90682 |
|
91 |
91 |
$7K |
| 81025 |
|
792 |
776 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,725 |
2,568 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
184 |
175 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
620 |
620 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$5K |
| 90732 |
|
36 |
36 |
$4K |
| 99441 |
|
82 |
81 |
$4K |
| 99406 |
|
484 |
459 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
402 |
396 |
$4K |
| 80061 |
Lipid panel |
305 |
305 |
$3K |
| 90686 |
|
228 |
227 |
$3K |
| 90673 |
|
44 |
44 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,144 |
1,009 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
97 |
90 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
146 |
131 |
$2K |
| 82947 |
|
481 |
481 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
80 |
$1K |
| 90656 |
|
48 |
48 |
$1K |
| 90688 |
|
60 |
60 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
752 |
683 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 94060 |
|
32 |
32 |
$795.10 |
| 99495 |
|
15 |
15 |
$755.81 |
| 93000 |
|
68 |
68 |
$624.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$477.87 |
| 83718 |
|
45 |
45 |
$313.88 |
| 90661 |
|
13 |
13 |
$307.57 |
| 83721 |
|
34 |
34 |
$253.10 |
| 94010 |
|
12 |
12 |
$226.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
387 |
381 |
$201.48 |
| 80305 |
|
16 |
16 |
$135.59 |
| 81001 |
|
40 |
38 |
$113.01 |
| 82950 |
|
27 |
27 |
$109.19 |
| 1125F |
|
661 |
652 |
$0.00 |
| 3008F |
|
3,846 |
3,807 |
$0.00 |
| 2000F |
|
2,489 |
2,485 |
$0.00 |
| 1111F |
|
142 |
134 |
$0.00 |
| 3044F |
|
173 |
173 |
$0.00 |
| 3075F |
|
591 |
591 |
$0.00 |
| 1126F |
|
1,171 |
1,169 |
$0.00 |
| 3079F |
|
1,095 |
1,089 |
$0.00 |
| 3074F |
|
1,487 |
1,470 |
$0.00 |
| 3080F |
|
89 |
89 |
$0.00 |
| 4037F |
|
285 |
282 |
$0.00 |
| 3048F |
|
134 |
134 |
$0.00 |
| 3049F |
|
31 |
31 |
$0.00 |
| 3017F |
|
62 |
61 |
$0.00 |
| 3754F |
|
12 |
12 |
$0.00 |
| 3725F |
|
2,922 |
2,913 |
$0.00 |
| 1159F |
|
1,091 |
1,088 |
$0.00 |
| 1160F |
|
1,323 |
1,314 |
$0.00 |
| 3511F |
|
612 |
608 |
$0.00 |
| 4004F |
|
621 |
589 |
$0.00 |
| 3016F |
|
2,479 |
2,469 |
$0.00 |
| 3077F |
|
125 |
125 |
$0.00 |
| 3078F |
|
1,096 |
1,091 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 3046F |
|
13 |
13 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |