| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,036 |
35,206 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,939 |
11,078 |
$403K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,260 |
1,114 |
$59K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,571 |
805 |
$54K |
| 36415 |
Collection of venous blood by venipuncture |
25,824 |
22,055 |
$46K |
| 80053 |
Comprehensive metabolic panel |
9,108 |
7,709 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,178 |
10,979 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,782 |
3,418 |
$29K |
| 84481 |
|
2,951 |
2,679 |
$28K |
| 99215 |
Prolong outpt/office vis |
430 |
402 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
495 |
443 |
$20K |
| 84439 |
|
4,099 |
3,725 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,664 |
4,254 |
$18K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
31 |
25 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,257 |
5,545 |
$16K |
| 95251 |
|
1,014 |
905 |
$14K |
| 95816 |
|
170 |
158 |
$9K |
| 99205 |
Prolong outpt/office vis |
74 |
65 |
$7K |
| 96367 |
|
433 |
195 |
$7K |
| 99307 |
|
869 |
766 |
$7K |
| 80061 |
Lipid panel |
1,411 |
1,309 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
737 |
612 |
$6K |
| 83721 |
|
2,551 |
2,211 |
$6K |
| 97803 |
|
166 |
148 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
90 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
89 |
79 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
859 |
476 |
$5K |
| 82728 |
|
719 |
662 |
$5K |
| 86140 |
|
1,675 |
1,544 |
$4K |
| 83718 |
|
2,415 |
2,092 |
$4K |
| 11721 |
|
455 |
402 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
171 |
131 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
131 |
112 |
$4K |
| 85651 |
|
1,974 |
1,798 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
77 |
63 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
217 |
161 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
168 |
$3K |
| 84478 |
|
2,338 |
2,036 |
$3K |
| 99305 |
|
104 |
86 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
142 |
$2K |
| 90682 |
|
151 |
130 |
$2K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
53 |
14 |
$2K |
| 95819 |
|
12 |
12 |
$2K |
| 51798 |
|
467 |
375 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
90 |
65 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
255 |
$1K |
| 80050 |
General health panel |
211 |
188 |
$1K |
| 20610 |
|
129 |
52 |
$1K |
| 90686 |
|
170 |
138 |
$1K |
| 95117 |
|
256 |
75 |
$1K |
| 84075 |
|
1,784 |
1,558 |
$953.81 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
103 |
41 |
$952.52 |
| 80305 |
|
252 |
234 |
$921.04 |
| 84450 |
|
2,002 |
1,702 |
$915.79 |
| 96417 |
|
28 |
12 |
$841.75 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
12 |
$809.30 |
| 84460 |
|
2,007 |
1,702 |
$679.87 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
14 |
$672.33 |
| 92015 |
Determination of refractive state |
96 |
88 |
$668.27 |
| 82040 |
|
1,993 |
1,689 |
$653.06 |
| 84466 |
|
134 |
126 |
$647.48 |
| 90750 |
|
47 |
30 |
$577.09 |
| 0011A |
|
51 |
36 |
$483.73 |
| 84155 |
|
2,007 |
1,702 |
$475.97 |
| 82570 |
|
211 |
202 |
$473.16 |
| 82043 |
|
162 |
156 |
$445.73 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
125 |
114 |
$431.19 |
| 0012A |
|
42 |
33 |
$409.31 |
| 92557 |
|
30 |
24 |
$406.69 |
| 83540 |
|
134 |
126 |
$339.63 |
| 87428 |
|
12 |
12 |
$309.40 |
| 0064A |
|
94 |
86 |
$297.68 |
| 90662 |
|
249 |
219 |
$290.51 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
81 |
63 |
$286.14 |
| 90732 |
|
13 |
12 |
$266.94 |
| 0004A |
|
22 |
14 |
$260.47 |
| 99406 |
|
16 |
14 |
$232.13 |
| 87420 |
|
22 |
19 |
$211.50 |
| 0134A |
|
33 |
16 |
$184.50 |
| 3044F |
|
517 |
402 |
$180.00 |
| 81001 |
|
384 |
335 |
$174.30 |
| 96127 |
|
67 |
64 |
$174.15 |
| 83735 |
|
197 |
146 |
$163.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
111 |
$135.96 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
34 |
29 |
$107.35 |
| 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) |
3,358 |
2,971 |
$74.36 |
| 86200 |
|
45 |
39 |
$64.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
93 |
40 |
$57.03 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,094 |
268 |
$45.91 |
| 82607 |
|
26 |
25 |
$45.82 |
| 81002 |
|
27 |
24 |
$41.76 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$41.37 |
| 86431 |
|
59 |
51 |
$40.12 |
| 85610 |
|
117 |
92 |
$28.64 |
| 81003 |
|
13 |
12 |
$18.88 |
| 3078F |
|
7,489 |
6,605 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
222 |
192 |
$0.00 |
| 3077F |
|
367 |
341 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 84550 |
|
14 |
13 |
$0.00 |
| 99497 |
|
45 |
37 |
$0.00 |
| 3074F |
|
7,873 |
6,998 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
304 |
270 |
$0.00 |
| 3080F |
|
156 |
147 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
562 |
487 |
$0.00 |
| 3079F |
|
2,409 |
2,181 |
$0.00 |
| 3075F |
|
1,294 |
1,137 |
$0.00 |
| 99070 |
|
91 |
39 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
97 |
78 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
13 |
$0.00 |