| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,968 |
5,202 |
$293K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,702 |
4,143 |
$289K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,047 |
952 |
$23K |
| 87428 |
|
626 |
584 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
471 |
413 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
192 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
863 |
814 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,068 |
900 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,165 |
1,866 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
116 |
106 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
462 |
422 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
40 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$940.90 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$755.79 |
| 80061 |
Lipid panel |
112 |
97 |
$647.01 |
| 81002 |
|
176 |
169 |
$373.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
96 |
93 |
$340.08 |
| 90756 |
|
32 |
30 |
$319.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
41 |
$281.35 |
| 90674 |
|
18 |
18 |
$123.93 |
| 99490 |
Ccm add 20min |
12 |
12 |
$118.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
65 |
53 |
$74.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
138 |
134 |
$34.09 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |