| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,644 |
1,082 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,540 |
1,076 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
873 |
383 |
$3K |
| 87428 |
|
201 |
143 |
$3K |
| 93000 |
|
477 |
302 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
37 |
$1K |
| 82962 |
|
1,139 |
701 |
$939.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
559 |
365 |
$795.36 |
| 99497 |
|
44 |
30 |
$692.16 |
| 82550 |
|
496 |
290 |
$639.63 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
202 |
133 |
$632.57 |
| 36415 |
Collection of venous blood by venipuncture |
1,019 |
644 |
$620.40 |
| 81002 |
|
801 |
506 |
$579.52 |
| 99490 |
Ccm add 20min |
230 |
175 |
$523.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
27 |
12 |
$427.89 |
| 90688 |
|
50 |
34 |
$368.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
414 |
254 |
$311.50 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
278 |
171 |
$268.42 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
197 |
128 |
$188.46 |
| 80061 |
Lipid panel |
589 |
330 |
$182.41 |
| 20610 |
|
17 |
12 |
$180.07 |
| 80050 |
General health panel |
126 |
64 |
$178.86 |
| 82565 |
|
33 |
28 |
$178.47 |
| 80051 |
|
33 |
28 |
$178.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
25 |
$171.46 |
| 93922 |
|
20 |
13 |
$161.89 |
| 80053 |
Comprehensive metabolic panel |
464 |
292 |
$153.11 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
44 |
25 |
$131.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
22 |
$112.42 |
| 82947 |
|
32 |
27 |
$101.01 |
| 82247 |
|
18 |
14 |
$85.77 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
107 |
63 |
$85.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
376 |
245 |
$57.60 |
| 99401 |
|
19 |
13 |
$57.42 |
| 83735 |
|
321 |
167 |
$45.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
69 |
52 |
$20.93 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
12 |
$17.24 |
| G0008 |
Administration of influenza virus vaccine |
104 |
70 |
$15.42 |
| 82728 |
|
16 |
12 |
$13.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
13 |
$13.19 |
| 82746 |
|
16 |
12 |
$12.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
239 |
152 |
$12.93 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
30 |
15 |
$10.43 |
| 82607 |
|
16 |
12 |
$2.40 |
| 83550 |
|
16 |
12 |
$1.39 |
| 83540 |
|
16 |
12 |
$1.01 |
| 94760 |
|
205 |
150 |
$0.11 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
53 |
36 |
$0.01 |
| 1170F |
|
128 |
86 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
54 |
37 |
$0.01 |
| 1159F |
|
67 |
47 |
$0.00 |
| 3288F |
|
67 |
42 |
$0.00 |
| 90662 |
|
73 |
49 |
$0.00 |
| 1160F |
|
67 |
47 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
19 |
13 |
$0.00 |
| 3008F |
|
47 |
36 |
$0.00 |
| 1111F |
|
44 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
85 |
60 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
113 |
65 |
$0.00 |
| 3074F |
|
19 |
13 |
$0.00 |
| 3079F |
|
21 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
36 |
$0.00 |