| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,261 |
2,789 |
$148K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,936 |
1,707 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,115 |
467 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
237 |
222 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
42 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
95 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 86580 |
|
107 |
106 |
$808.16 |
| 99001 |
|
194 |
170 |
$621.00 |
| 80061 |
Lipid panel |
60 |
59 |
$520.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
59 |
$408.00 |
| 84439 |
|
69 |
68 |
$363.84 |
| 0012A |
|
21 |
21 |
$340.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$333.60 |
| 0011A |
|
30 |
29 |
$304.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$141.10 |
| 90461 |
|
39 |
12 |
$129.36 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$89.19 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$71.83 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
37 |
37 |
$0.00 |
| D0603 |
|
24 |
24 |
$0.00 |
| 90686 |
|
70 |
66 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
105 |
$0.00 |
| 91301 |
|
59 |
58 |
$0.00 |