| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,700 |
6,220 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,756 |
1,706 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
628 |
626 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
339 |
338 |
$42K |
| 20610 |
|
882 |
839 |
$42K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,362 |
1,348 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
81 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
38 |
$3K |
| 81002 |
|
608 |
596 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
51 |
51 |
$1K |
| 99442 |
|
41 |
39 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$858.94 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
27 |
$714.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
48 |
$693.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$620.35 |
| 71045 |
Radiologic examination, chest; single view |
90 |
89 |
$571.70 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
59 |
$473.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$351.36 |
| 90686 |
|
18 |
18 |
$286.99 |
| 80053 |
Comprehensive metabolic panel |
23 |
20 |
$218.62 |
| 93923 |
|
12 |
12 |
$202.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$182.97 |
| 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) |
13 |
12 |
$114.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
18 |
$105.60 |
| 3078F |
|
40 |
37 |
$100.00 |
| 3074F |
|
26 |
24 |
$80.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
60 |
$73.49 |
| 81003 |
|
13 |
13 |
$25.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
309 |
285 |
$0.00 |
| 3008F |
|
623 |
578 |
$0.00 |
| 1125F |
|
182 |
170 |
$0.00 |
| 1126F |
|
42 |
40 |
$0.00 |