| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
4,810 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,176 |
2,847 |
$97K |
| 99000 |
|
1,918 |
1,754 |
$16K |
| 80061 |
Lipid panel |
2,070 |
1,981 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,760 |
2,492 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,165 |
844 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,710 |
1,628 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
77 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
68 |
$4K |
| 90756 |
|
216 |
202 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$2K |
| 90674 |
|
130 |
127 |
$2K |
| 82948 |
|
859 |
786 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
169 |
169 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
112 |
$1K |
| 81003 |
|
1,226 |
1,130 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
112 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
189 |
179 |
$984.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
43 |
$973.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
919 |
872 |
$558.96 |
| 90661 |
|
43 |
43 |
$417.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
151 |
138 |
$220.75 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
18 |
$205.35 |
| 0013A |
|
37 |
36 |
$120.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
318 |
287 |
$80.01 |
| G0008 |
Administration of influenza virus vaccine |
186 |
172 |
$49.41 |
| 36415 |
Collection of venous blood by venipuncture |
3,253 |
3,011 |
$21.00 |
| 4551F |
|
503 |
477 |
$0.02 |
| 1159F |
|
1,953 |
1,656 |
$0.00 |
| 1160F |
|
1,953 |
1,655 |
$0.00 |
| 3078F |
|
4,087 |
3,363 |
$0.00 |
| 1090F |
|
340 |
305 |
$0.00 |
| 4019F |
|
556 |
519 |
$0.00 |
| 3016F |
|
1,012 |
904 |
$0.00 |
| 3288F |
|
385 |
344 |
$0.00 |
| 3051F |
|
39 |
38 |
$0.00 |
| 99497 |
|
29 |
29 |
$0.00 |
| 4004F |
|
15 |
13 |
$0.00 |
| 0521F |
|
27 |
24 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 3088F |
|
12 |
12 |
$0.00 |
| 1000F |
|
488 |
438 |
$0.00 |
| 1036F |
|
1,498 |
1,325 |
$0.00 |
| 3008F |
|
5,331 |
4,314 |
$0.00 |
| 2010F |
|
4,069 |
3,309 |
$0.00 |
| 3351F |
|
110 |
108 |
$0.00 |
| 3044F |
|
609 |
587 |
$0.00 |
| 1126F |
|
516 |
482 |
$0.00 |
| 3075F |
|
627 |
560 |
$0.00 |
| 4050F |
|
212 |
193 |
$0.00 |
| 3048F |
|
645 |
618 |
$0.00 |
| 3074F |
|
4,171 |
3,433 |
$0.00 |
| 1170F |
|
346 |
309 |
$0.00 |
| 3079F |
|
814 |
726 |
$0.00 |
| 1125F |
|
78 |
74 |
$0.00 |
| 2000F |
|
88 |
79 |
$0.00 |
| 1034F |
|
32 |
24 |
$0.00 |
| 1220F |
|
533 |
506 |
$0.00 |
| 4037F |
|
58 |
53 |
$0.00 |
| 2001F |
|
67 |
59 |
$0.00 |
| 3049F |
|
58 |
56 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
26 |
26 |
$0.00 |
| 1111F |
|
16 |
14 |
$0.00 |