| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
75,370 |
48,953 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,499 |
4,322 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,786 |
4,372 |
$275K |
| 99442 |
|
1,346 |
988 |
$50K |
| 99215 |
Prolong outpt/office vis |
447 |
362 |
$37K |
| 81025 |
|
5,660 |
4,190 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,862 |
3,181 |
$24K |
| 99443 |
|
307 |
245 |
$16K |
| 81002 |
|
6,720 |
5,219 |
$12K |
| 93000 |
|
943 |
797 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
885 |
746 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
851 |
352 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
90 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
59 |
48 |
$8K |
| 99454 |
|
287 |
274 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
728 |
598 |
$6K |
| 99401 |
|
170 |
135 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,943 |
2,378 |
$5K |
| 99457 |
|
262 |
250 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
192 |
139 |
$3K |
| 94010 |
|
128 |
103 |
$2K |
| 82947 |
|
710 |
538 |
$2K |
| 80305 |
|
183 |
149 |
$2K |
| 92567 |
|
103 |
88 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
55 |
$1K |
| 99441 |
|
39 |
24 |
$895.11 |
| 99406 |
|
106 |
83 |
$767.52 |
| 99458 |
|
52 |
49 |
$751.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
51 |
$535.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
69 |
63 |
$455.73 |
| 99051 |
|
30 |
24 |
$450.16 |
| 99453 |
|
45 |
43 |
$391.23 |
| 99407 |
|
22 |
18 |
$307.04 |
| 96127 |
|
62 |
53 |
$236.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$224.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$59.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
36 |
24 |
$40.20 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
14 |
$0.06 |
| 92552 |
|
30 |
29 |
$0.01 |
| 1160F |
|
48 |
41 |
$0.00 |
| 99173 |
|
72 |
58 |
$0.00 |
| 3077F |
|
20 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
23 |
19 |
$0.00 |
| 90686 |
|
14 |
12 |
$0.00 |