| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,351 |
7,565 |
$270K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,854 |
3,522 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
586 |
559 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
722 |
688 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,944 |
1,035 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
264 |
$19K |
| 85027 |
|
1,688 |
1,570 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
627 |
585 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
395 |
276 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
66 |
$3K |
| 86318 |
|
208 |
199 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
132 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
33 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
186 |
$2K |
| 81002 |
|
291 |
274 |
$750.44 |
| 90461 |
|
245 |
75 |
$679.16 |
| 82044 |
|
147 |
136 |
$658.98 |
| 82570 |
|
138 |
127 |
$533.97 |
| 80061 |
Lipid panel |
41 |
39 |
$326.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$146.88 |
| 92567 |
|
16 |
16 |
$138.55 |
| 87807 |
|
13 |
12 |
$132.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
31 |
$4.24 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90658 |
|
19 |
19 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99051 |
|
16 |
16 |
$0.00 |