| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,300 |
16,052 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,504 |
5,094 |
$167K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
554 |
538 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,804 |
2,638 |
$83K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
25 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,092 |
1,003 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,066 |
1,046 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
976 |
928 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,650 |
1,537 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
770 |
735 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
182 |
174 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
124 |
123 |
$8K |
| 99460 |
|
108 |
106 |
$7K |
| 59426 |
|
13 |
13 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
101 |
$5K |
| 90686 |
|
696 |
660 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
556 |
429 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
139 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
674 |
620 |
$5K |
| 87210 |
|
971 |
928 |
$4K |
| 85027 |
|
801 |
738 |
$4K |
| 59425 |
|
13 |
13 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
375 |
359 |
$3K |
| 76801 |
|
41 |
40 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
749 |
701 |
$3K |
| 87660 |
|
124 |
122 |
$3K |
| 81001 |
|
817 |
771 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
45 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
89 |
$2K |
| 51798 |
|
269 |
249 |
$2K |
| 90715 |
|
49 |
49 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
34 |
15 |
$1K |
| 87480 |
|
125 |
123 |
$1K |
| 87510 |
|
125 |
123 |
$1K |
| 90682 |
|
69 |
66 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 83655 |
|
91 |
90 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$980.00 |
| 99307 |
|
106 |
101 |
$919.82 |
| 81025 |
|
100 |
91 |
$684.67 |
| 87428 |
|
78 |
62 |
$675.80 |
| 87806 |
|
25 |
25 |
$609.73 |
| 82607 |
|
51 |
50 |
$468.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
155 |
117 |
$392.72 |
| 84439 |
|
41 |
39 |
$382.80 |
| 87807 |
|
101 |
73 |
$349.80 |
| 96160 |
|
13 |
13 |
$262.32 |
| 82950 |
|
41 |
40 |
$236.52 |
| 81002 |
|
133 |
118 |
$228.62 |
| 59025 |
Fetal non-stress test |
16 |
12 |
$227.12 |
| 74019 |
|
26 |
25 |
$219.98 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$151.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
41 |
$140.76 |
| 84702 |
|
17 |
13 |
$126.00 |
| 85018 |
|
67 |
66 |
$93.55 |
| 80061 |
Lipid panel |
13 |
12 |
$75.60 |
| 85651 |
|
26 |
24 |
$58.88 |
| 36415 |
Collection of venous blood by venipuncture |
664 |
592 |
$15.00 |
| 99490 |
Ccm add 20min |
45 |
45 |
$9.67 |
| G0008 |
Administration of influenza virus vaccine |
125 |
119 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |
| 99000 |
|
42 |
42 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |