| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,952 |
13,017 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,893 |
9,390 |
$525K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,100 |
3,411 |
$219K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,720 |
2,116 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,217 |
1,935 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,560 |
6,883 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,486 |
1,506 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,614 |
2,198 |
$26K |
| 87631 |
|
176 |
166 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
191 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,571 |
1,428 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
72 |
$8K |
| 92551 |
|
869 |
760 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
60 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
51 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
42 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
394 |
338 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
201 |
$3K |
| 87807 |
|
336 |
278 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
152 |
125 |
$2K |
| 99173 |
|
806 |
710 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
509 |
450 |
$949.37 |
| 90686 |
|
528 |
462 |
$943.82 |
| 0011A |
|
30 |
26 |
$696.39 |
| 81003 |
|
465 |
400 |
$621.96 |
| 96160 |
|
172 |
148 |
$348.73 |
| 96127 |
|
56 |
56 |
$181.84 |
| 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) |
49 |
38 |
$157.80 |
| 90674 |
|
32 |
25 |
$145.00 |
| 82962 |
|
23 |
17 |
$100.09 |
| 86308 |
|
12 |
12 |
$50.35 |
| 90688 |
|
154 |
144 |
$45.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
15 |
$11.20 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
75 |
59 |
$0.00 |
| 3288F |
|
294 |
207 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |
| 3078F |
|
52 |
34 |
$0.00 |
| 90715 |
|
40 |
34 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |
| 3074F |
|
178 |
112 |
$0.00 |
| 3008F |
|
150 |
113 |
$0.00 |
| 36416 |
|
185 |
140 |
$0.00 |
| 91301 |
|
31 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
72 |
57 |
$0.00 |
| 4010F |
|
54 |
24 |
$0.00 |
| 3079F |
|
67 |
41 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |