| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,115 |
12,665 |
$1.17M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,090 |
9,872 |
$171K |
| 87428 |
|
2,988 |
2,953 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
904 |
877 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
821 |
814 |
$92K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
185 |
181 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
200 |
198 |
$13K |
| 76801 |
|
73 |
68 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
106 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
82 |
81 |
$3K |
| 87807 |
|
191 |
190 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$768.34 |
| 59025 |
Fetal non-stress test |
14 |
13 |
$401.52 |
| 99053 |
|
25 |
25 |
$267.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$203.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$150.08 |
| 80305 |
|
17 |
13 |
$141.77 |
| 81002 |
|
12 |
12 |
$46.68 |
| J3490 |
Unclassified drugs |
31 |
15 |
$0.00 |