| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,458 |
9,576 |
$529K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,790 |
3,330 |
$240K |
| 87428 |
|
616 |
552 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,887 |
2,700 |
$17K |
| 80053 |
Comprehensive metabolic panel |
2,102 |
1,987 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
609 |
562 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
828 |
365 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
105 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
103 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
298 |
277 |
$7K |
| 80061 |
Lipid panel |
879 |
834 |
$5K |
| 90688 |
|
344 |
306 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
317 |
259 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,370 |
3,122 |
$4K |
| 99307 |
|
286 |
228 |
$3K |
| 92551 |
|
241 |
236 |
$1K |
| 99173 |
|
205 |
200 |
$975.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$366.88 |
| 80305 |
|
62 |
61 |
$282.69 |
| 90734 |
|
13 |
13 |
$257.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$156.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
24 |
$101.12 |
| 84439 |
|
12 |
12 |
$72.00 |
| 82570 |
|
12 |
12 |
$48.00 |
| 82043 |
|
12 |
12 |
$48.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,707 |
1,391 |
$0.00 |
| 4040F |
|
488 |
369 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
631 |
500 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
27 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
31 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |