| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,328 |
8,813 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,506 |
5,108 |
$217K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,806 |
2,488 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
948 |
678 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
790 |
418 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
692 |
529 |
$27K |
| 99215 |
Prolong outpt/office vis |
511 |
416 |
$17K |
| 97802 |
|
1,605 |
811 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
162 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
452 |
397 |
$9K |
| 90461 |
|
902 |
551 |
$7K |
| 0012A |
|
275 |
251 |
$3K |
| 0011A |
|
253 |
233 |
$3K |
| 80305 |
|
559 |
398 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
309 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
162 |
$1K |
| 99188 |
|
77 |
73 |
$1K |
| 99201 |
|
44 |
37 |
$700.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
46 |
$410.83 |
| 20610 |
|
20 |
13 |
$396.13 |
| 36415 |
Collection of venous blood by venipuncture |
888 |
766 |
$360.85 |
| 0064A |
|
59 |
44 |
$358.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
41 |
$291.01 |
| 93000 |
|
77 |
29 |
$210.09 |
| 96127 |
|
507 |
213 |
$199.54 |
| 85018 |
|
196 |
155 |
$194.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
399 |
330 |
$184.04 |
| 86769 |
|
12 |
12 |
$158.88 |
| 82947 |
|
178 |
140 |
$146.40 |
| 80053 |
Comprehensive metabolic panel |
1,031 |
863 |
$138.80 |
| 83655 |
|
14 |
12 |
$68.00 |
| 80061 |
Lipid panel |
469 |
425 |
$48.41 |
| 90686 |
|
303 |
270 |
$48.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$45.68 |
| 99490 |
Ccm add 20min |
99 |
70 |
$44.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$44.54 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
24 |
16 |
$43.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$20.40 |
| 3725F |
|
119 |
54 |
$0.01 |
| 3078F |
|
2,195 |
1,335 |
$0.00 |
| 4004F |
|
1,535 |
1,070 |
$0.00 |
| 0521F |
|
258 |
201 |
$0.00 |
| 1159F |
|
540 |
418 |
$0.00 |
| 1160F |
|
441 |
360 |
$0.00 |
| 99173 |
|
606 |
354 |
$0.00 |
| 1003F |
|
1,530 |
929 |
$0.00 |
| 90670 |
|
224 |
181 |
$0.00 |
| 96160 |
|
247 |
163 |
$0.00 |
| 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) |
258 |
146 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 95251 |
|
22 |
16 |
$0.00 |
| 84439 |
|
42 |
39 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90648 |
|
98 |
91 |
$0.00 |
| 90633 |
|
37 |
34 |
$0.00 |
| 3008F |
|
9,350 |
5,781 |
$0.00 |
| 3074F |
|
2,355 |
1,783 |
$0.00 |
| 1125F |
|
1,039 |
742 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 3079F |
|
319 |
239 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
217 |
196 |
$0.00 |
| 36416 |
|
75 |
42 |
$0.00 |
| 1126F |
|
179 |
131 |
$0.00 |
| 85027 |
|
56 |
53 |
$0.00 |
| 90680 |
|
75 |
67 |
$0.00 |
| 92551 |
|
103 |
93 |
$0.00 |
| 1036F |
|
15 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
360 |
322 |
$0.00 |
| 90723 |
|
85 |
80 |
$0.00 |
| 99174 |
|
81 |
76 |
$0.00 |
| 90620 |
|
35 |
30 |
$0.00 |
| 1170F |
|
113 |
67 |
$0.00 |
| 4037F |
|
20 |
13 |
$0.00 |
| 1111F |
|
22 |
12 |
$0.00 |