| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,883 |
5,210 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,112 |
4,619 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,402 |
2,131 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,072 |
2,717 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,630 |
2,148 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,211 |
1,130 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
81 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
769 |
352 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
418 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
70 |
13 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
168 |
144 |
$1K |
| 99490 |
Ccm add 20min |
327 |
326 |
$864.01 |
| 80053 |
Comprehensive metabolic panel |
147 |
111 |
$789.26 |
| 90461 |
|
102 |
74 |
$666.94 |
| 81025 |
|
82 |
72 |
$513.41 |
| 99201 |
|
20 |
17 |
$395.00 |
| 87807 |
|
30 |
27 |
$334.37 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$332.21 |
| 81003 |
|
177 |
165 |
$316.05 |
| 0031A |
|
30 |
26 |
$198.73 |
| 95117 |
|
24 |
15 |
$193.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
31 |
$191.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
25 |
$163.15 |
| 80061 |
Lipid panel |
13 |
12 |
$48.75 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
123 |
115 |
$30.00 |
| 91303 |
|
30 |
26 |
$0.03 |
| 90686 |
|
103 |
98 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
324 |
304 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
1,035 |
733 |
$0.00 |