| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,390 |
14,207 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,705 |
6,112 |
$394K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,465 |
2,443 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,133 |
4,082 |
$25K |
| 80061 |
Lipid panel |
2,457 |
2,437 |
$24K |
| 80053 |
Comprehensive metabolic panel |
2,890 |
2,854 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
220 |
219 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,588 |
2,576 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,278 |
2,067 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
93 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
310 |
303 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
526 |
523 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$8K |
| 94010 |
|
414 |
411 |
$6K |
| 99406 |
|
470 |
456 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
199 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
310 |
305 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
315 |
$3K |
| 81002 |
|
971 |
916 |
$2K |
| 84480 |
|
195 |
195 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
99 |
99 |
$2K |
| 84439 |
|
302 |
298 |
$2K |
| 93000 |
|
286 |
283 |
$2K |
| 90686 |
|
130 |
130 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
84 |
84 |
$2K |
| 90756 |
|
85 |
85 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,248 |
2,151 |
$2K |
| 99000 |
|
188 |
183 |
$2K |
| 80305 |
|
162 |
161 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 0012A |
|
36 |
36 |
$1K |
| 90674 |
|
53 |
53 |
$1K |
| 0011A |
|
39 |
39 |
$1K |
| 81003 |
|
671 |
648 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$985.76 |
| 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) |
264 |
240 |
$971.12 |
| 96127 |
|
254 |
251 |
$928.14 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
212 |
207 |
$771.13 |
| 84703 |
|
90 |
83 |
$573.81 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
360 |
334 |
$473.25 |
| 90688 |
|
21 |
21 |
$383.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$205.35 |
| 96160 |
|
40 |
40 |
$112.98 |
| 83735 |
|
24 |
24 |
$85.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
56 |
$56.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$7.54 |
| 3075F |
|
131 |
122 |
$0.00 |
| 3079F |
|
428 |
401 |
$0.00 |
| 3044F |
|
882 |
881 |
$0.00 |
| 3074F |
|
625 |
573 |
$0.00 |
| 3048F |
|
32 |
32 |
$0.00 |
| 91301 |
|
73 |
73 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
141 |
130 |
$0.00 |
| 3078F |
|
532 |
498 |
$0.00 |
| 1159F |
|
282 |
270 |
$0.00 |
| 3077F |
|
112 |
104 |
$0.00 |