| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
5,421 |
5,139 |
$218K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,567 |
11,349 |
$181K |
| Q3014 |
Telehealth originating site facility fee |
5,890 |
4,125 |
$135K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,476 |
3,482 |
$111K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,802 |
2,704 |
$90K |
| 99188 |
|
3,169 |
3,071 |
$72K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,259 |
6,103 |
$46K |
| 80053 |
Comprehensive metabolic panel |
3,542 |
3,021 |
$30K |
| 87807 |
|
1,953 |
1,821 |
$23K |
| 80050 |
General health panel |
441 |
368 |
$21K |
| 81025 |
|
3,023 |
2,606 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,594 |
2,303 |
$20K |
| 80061 |
Lipid panel |
1,878 |
1,631 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,047 |
1,979 |
$18K |
| 81003 |
|
6,709 |
5,267 |
$13K |
| 0072A |
|
336 |
334 |
$12K |
| 0071A |
|
330 |
320 |
$11K |
| 0001A |
|
317 |
312 |
$11K |
| 0002A |
|
310 |
306 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
400 |
355 |
$7K |
| 0054A |
|
263 |
210 |
$7K |
| 83655 |
|
589 |
544 |
$6K |
| 80305 |
|
456 |
365 |
$5K |
| 87808 |
|
317 |
277 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
246 |
240 |
$4K |
| 0124A |
|
171 |
163 |
$4K |
| 90686 |
|
1,164 |
1,143 |
$3K |
| 85027 |
|
640 |
569 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
363 |
320 |
$3K |
| 0052A |
|
83 |
75 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
65 |
63 |
$2K |
| 0074A |
|
64 |
63 |
$2K |
| 0051A |
|
69 |
58 |
$2K |
| 85018 |
|
908 |
819 |
$2K |
| 0154A |
|
100 |
83 |
$2K |
| 0004A |
|
47 |
43 |
$1K |
| 82044 |
|
270 |
246 |
$1K |
| 87905 |
|
116 |
104 |
$1K |
| 86703 |
|
82 |
66 |
$877.44 |
| 86780 |
|
82 |
66 |
$858.81 |
| 0012A |
|
22 |
22 |
$753.67 |
| 84443 |
Thyroid stimulating hormone (TSH) |
49 |
44 |
$688.80 |
| 74018 |
|
41 |
38 |
$659.67 |
| 82948 |
|
139 |
123 |
$604.80 |
| 0011A |
|
22 |
22 |
$526.00 |
| 73630 |
|
30 |
27 |
$338.76 |
| 73560 |
|
13 |
12 |
$229.97 |
| 90651 |
|
71 |
70 |
$206.65 |
| 90715 |
|
50 |
47 |
$158.93 |
| 90734 |
|
50 |
48 |
$137.99 |
| 98966 |
|
17 |
15 |
$0.00 |
| 91300 |
|
622 |
567 |
$0.00 |
| 91312 |
|
153 |
148 |
$0.00 |
| 91307 |
|
650 |
586 |
$0.00 |
| 91305 |
|
217 |
192 |
$0.00 |
| 91315 |
|
81 |
81 |
$0.00 |
| 91301 |
|
53 |
52 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |