| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
3,382 |
860 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,386 |
4,314 |
$123K |
| 99423 |
|
1,470 |
441 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,922 |
1,737 |
$56K |
| 99422 |
|
428 |
220 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
293 |
254 |
$9K |
| 99000 |
|
1,593 |
1,392 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,205 |
2,056 |
$5K |
| 99442 |
|
307 |
244 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,811 |
1,670 |
$4K |
| 80076 |
|
1,722 |
1,639 |
$3K |
| 99091 |
|
258 |
258 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
382 |
359 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
253 |
241 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
379 |
304 |
$2K |
| 80061 |
Lipid panel |
667 |
640 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
68 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
69 |
$1K |
| 82550 |
|
967 |
925 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
351 |
342 |
$866.44 |
| 81003 |
|
805 |
755 |
$640.96 |
| 90688 |
|
97 |
97 |
$576.21 |
| 93000 |
|
67 |
66 |
$424.18 |
| 83735 |
|
278 |
252 |
$410.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$393.00 |
| 80051 |
|
114 |
112 |
$345.39 |
| 85651 |
|
164 |
149 |
$337.62 |
| 82947 |
|
364 |
340 |
$325.90 |
| 82310 |
|
345 |
332 |
$295.20 |
| 99421 |
|
16 |
12 |
$286.08 |
| 99051 |
|
638 |
574 |
$268.83 |
| 0011A |
|
17 |
17 |
$240.00 |
| 84520 |
|
342 |
330 |
$228.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$180.57 |
| 90658 |
|
13 |
13 |
$161.20 |
| 82565 |
|
227 |
217 |
$135.90 |
| 84439 |
|
43 |
40 |
$134.35 |
| 90674 |
|
19 |
18 |
$106.00 |
| 90756 |
|
94 |
93 |
$84.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
119 |
103 |
$68.76 |
| 82374 |
|
227 |
217 |
$39.18 |
| 84132 |
|
230 |
216 |
$37.96 |
| 84460 |
|
75 |
74 |
$36.62 |
| 84450 |
|
74 |
73 |
$35.73 |
| 82248 |
|
75 |
74 |
$34.67 |
| 82247 |
|
75 |
74 |
$34.67 |
| 84075 |
|
75 |
74 |
$30.93 |
| 82040 |
|
75 |
74 |
$29.48 |
| 3074F |
|
537 |
469 |
$0.00 |
| 84478 |
|
118 |
108 |
$0.00 |
| 3008F |
|
1,168 |
996 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
145 |
144 |
$0.00 |
| 3079F |
|
43 |
40 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3078F |
|
524 |
458 |
$0.00 |
| 4274F |
|
118 |
110 |
$0.00 |
| 99497 |
|
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 82465 |
|
117 |
108 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
14 |
14 |
$0.00 |