| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,693 |
3,577 |
$194K |
| 87428 |
|
1,582 |
1,541 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
705 |
643 |
$38K |
| 80061 |
Lipid panel |
428 |
407 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
411 |
402 |
$12K |
| 80053 |
Comprehensive metabolic panel |
598 |
575 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
641 |
616 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
786 |
772 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
31 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
57 |
53 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
57 |
53 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
345 |
297 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
196 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
52 |
$2K |
| 81025 |
|
303 |
298 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
78 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
96 |
82 |
$894.77 |
| 81002 |
|
368 |
360 |
$748.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
28 |
$721.35 |
| 80050 |
General health panel |
12 |
12 |
$684.82 |
| 87210 |
|
191 |
189 |
$595.16 |
| 81001 |
|
80 |
70 |
$591.80 |
| 82043 |
|
56 |
55 |
$537.44 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$509.45 |
| 87081 |
|
36 |
36 |
$374.90 |
| 99051 |
|
12 |
12 |
$294.20 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
13 |
13 |
$180.45 |
| 96127 |
|
25 |
24 |
$93.83 |
| 82962 |
|
26 |
25 |
$40.63 |
| 90686 |
|
24 |
12 |
$12.00 |