| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,946 |
1,548 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,129 |
955 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
92 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
74 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
29 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
296 |
82 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
280 |
166 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
334 |
285 |
$1K |
| 99443 |
|
52 |
45 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
234 |
164 |
$997.37 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$886.31 |
| 99490 |
Ccm add 20min |
594 |
382 |
$537.69 |
| 81235 |
|
18 |
18 |
$460.60 |
| 99442 |
|
33 |
26 |
$396.15 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$320.27 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
22 |
$198.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
28 |
$121.91 |
| 82607 |
|
14 |
14 |
$120.73 |
| 80061 |
Lipid panel |
23 |
21 |
$118.46 |
| 82746 |
|
12 |
12 |
$95.00 |
| 80051 |
|
24 |
22 |
$86.24 |
| 99401 |
|
154 |
136 |
$77.06 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$76.64 |
| 84075 |
|
25 |
23 |
$63.50 |
| 82565 |
|
27 |
24 |
$60.95 |
| 82040 |
|
25 |
23 |
$57.72 |
| 90686 |
|
39 |
35 |
$57.51 |
| 84479 |
|
18 |
18 |
$57.26 |
| 82247 |
|
26 |
23 |
$56.75 |
| 84155 |
|
24 |
22 |
$50.24 |
| 82947 |
|
28 |
25 |
$49.91 |
| 84520 |
|
25 |
23 |
$46.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$40.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
30 |
$29.44 |
| 80305 |
|
38 |
28 |
$27.09 |
| 81002 |
|
63 |
57 |
$4.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
15 |
$1.15 |
| 3078F |
|
70 |
65 |
$0.00 |
| 3725F |
|
18 |
18 |
$0.00 |
| 3074F |
|
69 |
64 |
$0.00 |
| 3008F |
|
141 |
129 |
$0.00 |
| 1125F |
|
70 |
66 |
$0.00 |
| 96127 |
|
18 |
15 |
$0.00 |
| 1034F |
|
29 |
25 |
$0.00 |
| 1126F |
|
85 |
74 |
$0.00 |
| 3075F |
|
34 |
32 |
$0.00 |
| 3079F |
|
38 |
36 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |