| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,786 |
8,288 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,725 |
5,867 |
$221K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
635 |
536 |
$34K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
584 |
491 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
463 |
455 |
$9K |
| 99307 |
|
708 |
704 |
$8K |
| 87400 |
|
288 |
269 |
$7K |
| 87430 |
|
586 |
480 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
727 |
602 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
117 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
449 |
398 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
149 |
142 |
$2K |
| 80305 |
|
349 |
317 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
969 |
867 |
$1K |
| 90756 |
|
97 |
89 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$964.50 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
134 |
134 |
$703.09 |
| 80053 |
Comprehensive metabolic panel |
59 |
50 |
$325.18 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
151 |
127 |
$269.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
136 |
129 |
$206.03 |
| 90686 |
|
20 |
20 |
$171.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$169.45 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
17 |
12 |
$150.21 |
| 99497 |
|
21 |
18 |
$24.26 |
| 81001 |
|
22 |
21 |
$15.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$9.78 |
| 3078F |
|
17 |
17 |
$0.00 |
| 1159F |
|
211 |
195 |
$0.00 |
| 1160F |
|
211 |
195 |
$0.00 |
| 3077F |
|
34 |
32 |
$0.00 |
| 90653 |
|
40 |
37 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
85 |
$0.00 |
| 3008F |
|
293 |
249 |
$0.00 |
| 1126F |
|
54 |
48 |
$0.00 |
| 1125F |
|
186 |
168 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |