| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,142 |
984 |
$78K |
| 94681 |
|
716 |
666 |
$19K |
| 94726 |
|
706 |
656 |
$18K |
| 94375 |
|
500 |
466 |
$10K |
| 80305 |
|
873 |
756 |
$8K |
| 94200 |
|
502 |
468 |
$7K |
| 93922 |
|
139 |
133 |
$6K |
| 94060 |
|
216 |
204 |
$6K |
| 95923 |
|
68 |
63 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
164 |
137 |
$2K |
| 80053 |
Comprehensive metabolic panel |
258 |
244 |
$2K |
| 94664 |
|
207 |
197 |
$1K |
| 80061 |
Lipid panel |
123 |
117 |
$954.63 |
| 93923 |
|
13 |
12 |
$883.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
46 |
$769.60 |
| 36415 |
Collection of venous blood by venipuncture |
399 |
365 |
$679.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$355.20 |
| 82947 |
|
186 |
156 |
$321.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
43 |
$207.42 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$83.52 |
| 99406 |
|
23 |
22 |
$73.62 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
25 |
15 |
$54.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
20 |
19 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |