| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,132 |
8,311 |
$264K |
| 99307 |
|
2,496 |
1,864 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
275 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
593 |
525 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,520 |
1,261 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
443 |
315 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
116 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
619 |
283 |
$4K |
| 90688 |
|
239 |
205 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
33 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
180 |
161 |
$896.51 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$793.13 |
| 36415 |
Collection of venous blood by venipuncture |
1,555 |
1,297 |
$607.13 |
| 81002 |
|
209 |
177 |
$330.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$145.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
13 |
$116.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
15 |
$91.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
235 |
186 |
$72.80 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
26 |
26 |
$69.00 |
| G0008 |
Administration of influenza virus vaccine |
120 |
83 |
$46.35 |
| 90662 |
|
47 |
32 |
$13.80 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
14 |
$5.47 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |