| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,625 |
13,865 |
$552K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,896 |
8,462 |
$338K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,461 |
5,055 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,047 |
5,144 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,543 |
2,247 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,589 |
4,857 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,120 |
946 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
560 |
504 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,560 |
930 |
$15K |
| 87807 |
|
755 |
637 |
$7K |
| 81003 |
|
1,685 |
1,482 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
294 |
267 |
$2K |
| 3008F |
|
18,790 |
14,164 |
$2K |
| 99173 |
|
307 |
278 |
$2K |
| 92551 |
|
239 |
215 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
866 |
720 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$845.68 |
| 96127 |
|
221 |
186 |
$815.69 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
12 |
$791.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
300 |
260 |
$679.54 |
| 95117 |
|
94 |
49 |
$554.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
14 |
$543.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23 |
13 |
$488.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$373.98 |
| 90686 |
|
98 |
89 |
$317.07 |
| 90756 |
|
39 |
39 |
$166.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
37 |
$106.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
30 |
$100.47 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
70 |
49 |
$83.52 |
| 3078F |
|
245 |
157 |
$70.00 |
| 94760 |
|
184 |
133 |
$51.87 |
| 3074F |
|
223 |
138 |
$50.00 |
| 83735 |
|
48 |
47 |
$31.16 |
| 3075F |
|
55 |
38 |
$30.00 |
| 80053 |
Comprehensive metabolic panel |
50 |
49 |
$27.18 |
| 1170F |
|
94 |
70 |
$20.00 |
| 1125F |
|
71 |
57 |
$20.00 |
| 82550 |
|
27 |
27 |
$17.64 |
| 80061 |
Lipid panel |
25 |
25 |
$12.04 |
| G0008 |
Administration of influenza virus vaccine |
69 |
65 |
$3.13 |
| 0528F |
|
56 |
37 |
$0.00 |
| 96160 |
|
54 |
36 |
$0.00 |
| 1090F |
|
55 |
37 |
$0.00 |
| 3755F |
|
57 |
38 |
$0.00 |
| 1160F |
|
151 |
112 |
$0.00 |
| 1159F |
|
151 |
112 |
$0.00 |
| 0521F |
|
57 |
39 |
$0.00 |
| 0556F |
|
56 |
37 |
$0.00 |
| 1124F |
|
23 |
12 |
$0.00 |
| 3288F |
|
55 |
37 |
$0.00 |
| 0518F |
|
55 |
37 |
$0.00 |
| 2010F |
|
18,230 |
13,816 |
$0.00 |
| 0513F |
|
1,863 |
1,353 |
$0.00 |
| 3011F |
|
122 |
75 |
$0.00 |
| 1110F |
|
93 |
68 |
$0.00 |
| 1220F |
|
58 |
39 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
55 |
37 |
$0.00 |
| 1022F |
|
57 |
38 |
$0.00 |
| 1111F |
|
143 |
106 |
$0.00 |
| 1030F |
|
56 |
37 |
$0.00 |
| 1000F |
|
55 |
37 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
13 |
$0.00 |