| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,050 |
13,415 |
$763K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,725 |
3,262 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,582 |
1,328 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,390 |
1,586 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
459 |
391 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,211 |
985 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
190 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,826 |
3,046 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,732 |
3,150 |
$5K |
| 81002 |
|
528 |
371 |
$747.53 |
| 90686 |
|
54 |
44 |
$647.46 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$642.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
43 |
$602.70 |
| 81000 |
|
413 |
292 |
$525.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
98 |
42 |
$123.60 |
| 80061 |
Lipid panel |
48 |
25 |
$123.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,108 |
1,622 |
$89.18 |
| 80053 |
Comprehensive metabolic panel |
79 |
29 |
$84.50 |
| 84443 |
Thyroid stimulating hormone (TSH) |
55 |
23 |
$66.90 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24 |
19 |
$64.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
17 |
$46.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
76 |
$43.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
505 |
351 |
$0.71 |