| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,108 |
9,209 |
$591K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
4,561 |
$416K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,542 |
2,468 |
$86K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,508 |
2,237 |
$65K |
| 99442 |
|
1,471 |
1,327 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
353 |
352 |
$39K |
| 93000 |
|
3,365 |
3,309 |
$37K |
| 99441 |
|
1,047 |
931 |
$27K |
| 81002 |
|
13,057 |
9,872 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,813 |
1,280 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
773 |
697 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,917 |
2,472 |
$17K |
| 81025 |
|
3,959 |
3,073 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
163 |
160 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
308 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
861 |
851 |
$10K |
| 90688 |
|
573 |
570 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
261 |
241 |
$7K |
| 99205 |
Prolong outpt/office vis |
69 |
69 |
$7K |
| 99385 |
|
70 |
70 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
525 |
518 |
$5K |
| 82948 |
|
2,561 |
1,908 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
138 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
190 |
166 |
$4K |
| 99215 |
Prolong outpt/office vis |
48 |
48 |
$4K |
| 82962 |
|
2,677 |
1,993 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
185 |
178 |
$3K |
| 90686 |
|
135 |
135 |
$2K |
| 95923 |
|
28 |
28 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
88 |
69 |
$2K |
| 82607 |
|
251 |
213 |
$2K |
| 95921 |
|
28 |
28 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,039 |
743 |
$1K |
| 93922 |
|
55 |
54 |
$1K |
| 90658 |
|
50 |
49 |
$953.56 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$919.21 |
| 36415 |
Collection of venous blood by venipuncture |
6,274 |
5,917 |
$772.42 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
72 |
55 |
$699.31 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
76 |
76 |
$621.85 |
| 0013A |
|
15 |
15 |
$547.56 |
| 0012A |
|
14 |
14 |
$466.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
78 |
$403.08 |
| 3074F |
|
1,494 |
1,214 |
$285.76 |
| 3078F |
|
1,287 |
1,060 |
$268.15 |
| 82728 |
|
69 |
69 |
$236.00 |
| 82746 |
|
76 |
76 |
$212.50 |
| 80053 |
Comprehensive metabolic panel |
91 |
89 |
$209.78 |
| 96127 |
|
36 |
36 |
$169.08 |
| 99401 |
|
16 |
16 |
$155.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
71 |
71 |
$144.00 |
| 84439 |
|
71 |
71 |
$144.00 |
| 80061 |
Lipid panel |
81 |
81 |
$121.12 |
| 83721 |
|
91 |
88 |
$111.24 |
| 84480 |
|
71 |
71 |
$91.20 |
| 87070 |
|
14 |
14 |
$61.08 |
| 3075F |
|
318 |
293 |
$60.15 |
| 3079F |
|
595 |
520 |
$55.31 |
| 83550 |
|
38 |
38 |
$43.23 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
47 |
37 |
$41.84 |
| 83540 |
|
38 |
38 |
$41.27 |
| 3077F |
|
158 |
141 |
$32.67 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
68 |
53 |
$24.50 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
39 |
30 |
$23.79 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
55 |
42 |
$13.75 |
| 94760 |
|
301 |
263 |
$2.78 |
| 3080F |
|
65 |
62 |
$0.13 |
| 3008F |
|
5,645 |
4,276 |
$0.09 |
| 1159F |
|
3,160 |
2,326 |
$0.05 |
| 1160F |
|
3,205 |
2,356 |
$0.04 |
| 1030F |
|
1,196 |
1,110 |
$0.02 |
| 4035F |
|
1,176 |
1,093 |
$0.02 |
| 36000 |
|
40 |
30 |
$0.00 |
| 3017F |
|
26 |
25 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |
| 3725F |
|
42 |
39 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
83 |
77 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
104 |
101 |
$0.00 |
| 4013F |
|
19 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 3051F |
|
29 |
29 |
$0.00 |