| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,237 |
7,521 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,717 |
2,761 |
$251K |
| 96127 |
|
10,799 |
6,973 |
$150K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
1,193 |
799 |
$78K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
977 |
641 |
$62K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,155 |
776 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
599 |
337 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,045 |
826 |
$41K |
| 99243 |
|
638 |
456 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
493 |
312 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
506 |
382 |
$31K |
| 92551 |
|
1,711 |
1,017 |
$25K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
480 |
399 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
194 |
102 |
$19K |
| 99401 |
|
620 |
278 |
$15K |
| 87503 |
|
910 |
607 |
$15K |
| 99385 |
|
143 |
64 |
$14K |
| 99173 |
|
1,797 |
1,058 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
124 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
745 |
415 |
$12K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
144 |
47 |
$11K |
| 82607 |
|
802 |
400 |
$9K |
| 80053 |
Comprehensive metabolic panel |
834 |
422 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
923 |
475 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
192 |
66 |
$7K |
| 87070 |
|
1,127 |
628 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
179 |
65 |
$7K |
| 80061 |
Lipid panel |
1,151 |
591 |
$7K |
| 87186 |
|
592 |
386 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,088 |
565 |
$7K |
| 83721 |
|
606 |
293 |
$5K |
| 86696 |
|
136 |
47 |
$5K |
| 87088 |
|
465 |
226 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
174 |
59 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
481 |
237 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
847 |
451 |
$5K |
| 86695 |
|
149 |
48 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
39 |
$4K |
| 99384 |
|
41 |
33 |
$4K |
| 99383 |
|
35 |
25 |
$3K |
| 84439 |
|
348 |
185 |
$3K |
| 84480 |
|
299 |
150 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
100 |
42 |
$2K |
| 84436 |
|
374 |
172 |
$2K |
| 86694 |
|
105 |
29 |
$2K |
| 86704 |
|
141 |
49 |
$2K |
| 87077 |
|
536 |
332 |
$2K |
| 94760 |
|
3,186 |
1,859 |
$2K |
| 86706 |
|
139 |
49 |
$2K |
| 81002 |
|
797 |
479 |
$2K |
| 86780 |
|
103 |
28 |
$2K |
| 84479 |
|
220 |
97 |
$1K |
| 80050 |
General health panel |
216 |
142 |
$1K |
| 81001 |
|
428 |
212 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$1K |
| 81025 |
|
388 |
273 |
$957.21 |
| 84481 |
|
86 |
43 |
$860.48 |
| 86803 |
|
40 |
18 |
$674.00 |
| 36415 |
Collection of venous blood by venipuncture |
228 |
167 |
$631.29 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$565.40 |
| 87340 |
|
40 |
18 |
$540.00 |
| 86705 |
|
35 |
18 |
$539.00 |
| 87255 |
|
30 |
12 |
$520.52 |
| 82962 |
|
275 |
167 |
$438.48 |
| 87081 |
|
66 |
61 |
$382.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$326.15 |
| 82746 |
|
25 |
12 |
$286.50 |
| 97597 |
|
14 |
12 |
$250.02 |
| 90734 |
|
15 |
14 |
$213.95 |
| 90656 |
|
17 |
15 |
$170.39 |
| 86592 |
|
38 |
18 |
$152.00 |
| 90658 |
|
16 |
13 |
$146.40 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
14 |
$140.59 |
| 82570 |
|
28 |
13 |
$130.48 |
| 82043 |
|
28 |
13 |
$110.32 |
| 85018 |
|
31 |
14 |
$69.60 |
| 99000 |
|
33 |
12 |
$0.00 |