| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,900 |
11,073 |
$441K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,700 |
6,394 |
$312K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,970 |
1,793 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,342 |
1,779 |
$51K |
| 80053 |
Comprehensive metabolic panel |
5,903 |
5,257 |
$47K |
| 36415 |
Collection of venous blood by venipuncture |
9,775 |
8,360 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,595 |
3,221 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
297 |
269 |
$17K |
| 85027 |
|
2,930 |
2,404 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
358 |
330 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,099 |
1,608 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
525 |
473 |
$11K |
| 99215 |
Prolong outpt/office vis |
145 |
132 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
561 |
167 |
$9K |
| 86140 |
|
1,781 |
1,674 |
$8K |
| 93000 |
|
2,004 |
1,805 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
482 |
410 |
$6K |
| 85651 |
|
1,744 |
1,642 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,815 |
1,313 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
122 |
$4K |
| 95117 |
|
573 |
255 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
138 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
292 |
272 |
$3K |
| 81001 |
|
1,112 |
1,015 |
$3K |
| 93288 |
|
335 |
296 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
51 |
$3K |
| 99307 |
|
272 |
272 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
79 |
$2K |
| 73560 |
|
168 |
97 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
126 |
116 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
122 |
17 |
$1K |
| 93356 |
|
288 |
255 |
$1K |
| 80061 |
Lipid panel |
234 |
198 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
680 |
530 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
88 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$793.10 |
| 82728 |
|
73 |
65 |
$699.07 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
22 |
15 |
$688.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$624.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
85 |
78 |
$585.62 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
108 |
$498.41 |
| 73120 |
|
61 |
29 |
$445.98 |
| 93880 |
|
17 |
13 |
$384.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
30 |
$275.36 |
| 81025 |
|
39 |
34 |
$251.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
17 |
$250.74 |
| 90756 |
|
25 |
19 |
$227.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
43 |
$226.23 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$131.48 |
| 84153 |
|
15 |
13 |
$61.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
174 |
159 |
$56.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
155 |
139 |
$33.66 |
| 81003 |
|
13 |
13 |
$22.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
38 |
$20.87 |
| 90653 |
|
26 |
26 |
$14.70 |
| 99072 |
|
105 |
94 |
$3.74 |
| 1126F |
|
90 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
133 |
$0.00 |
| 1170F |
|
103 |
94 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
119 |
118 |
$0.00 |
| 3074F |
|
30 |
25 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
12 |
12 |
$0.00 |
| 3078F |
|
56 |
46 |
$0.00 |
| 1159F |
|
74 |
66 |
$0.00 |
| 3288F |
|
117 |
109 |
$0.00 |
| 1160F |
|
74 |
66 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
13 |
13 |
$0.00 |
| 90662 |
|
33 |
33 |
$0.00 |