| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,601 |
8,508 |
$305K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,549 |
4,332 |
$118K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,853 |
884 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,125 |
1,488 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
50 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
664 |
432 |
$3K |
| 90756 |
|
256 |
240 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
159 |
97 |
$3K |
| 97597 |
|
177 |
107 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
96 |
66 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
129 |
$2K |
| 80053 |
Comprehensive metabolic panel |
240 |
220 |
$1K |
| 90688 |
|
125 |
116 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
332 |
304 |
$1K |
| 80305 |
|
177 |
161 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
193 |
182 |
$998.04 |
| 36415 |
Collection of venous blood by venipuncture |
1,146 |
1,013 |
$938.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$753.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
22 |
$525.21 |
| 80061 |
Lipid panel |
94 |
86 |
$510.84 |
| 99307 |
|
140 |
97 |
$484.13 |
| 90686 |
|
85 |
78 |
$367.61 |
| 20610 |
|
93 |
65 |
$325.11 |
| 0011A |
|
15 |
13 |
$296.64 |
| 0013A |
|
16 |
16 |
$240.40 |
| 85027 |
|
89 |
77 |
$128.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$114.20 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
131 |
101 |
$15.84 |
| 99024 |
|
222 |
195 |
$0.00 |
| 91301 |
|
123 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
155 |
139 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
86 |
78 |
$0.00 |