| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,950 |
10,816 |
$901K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,563 |
2,320 |
$140K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
634 |
599 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,074 |
1,978 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
568 |
539 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
99 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,056 |
999 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
104 |
$7K |
| 99490 |
Ccm add 20min |
897 |
885 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
807 |
781 |
$5K |
| 90674 |
|
241 |
237 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
195 |
185 |
$4K |
| 90686 |
|
177 |
144 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
223 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$410.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$378.00 |
| 81003 |
|
97 |
91 |
$213.00 |
| 80305 |
|
13 |
13 |
$115.17 |
| 82570 |
|
14 |
14 |
$48.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
48 |
$38.13 |
| 82044 |
|
14 |
14 |
$27.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$23.92 |
| 3079F |
|
3,810 |
3,606 |
$0.00 |
| 3074F |
|
6,697 |
6,193 |
$0.00 |
| 3075F |
|
2,089 |
2,019 |
$0.00 |
| 3080F |
|
409 |
375 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
71 |
69 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
5,981 |
5,559 |
$0.00 |
| 3077F |
|
1,390 |
1,292 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
238 |
209 |
$0.00 |
| 1159F |
|
15 |
14 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |