| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,506 |
2,000 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,731 |
1,347 |
$61K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,664 |
1,284 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
285 |
$23K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
375 |
280 |
$20K |
| 99442 |
|
838 |
703 |
$19K |
| 80053 |
Comprehensive metabolic panel |
1,882 |
1,479 |
$18K |
| 80061 |
Lipid panel |
2,434 |
1,863 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,366 |
1,796 |
$14K |
| 90674 |
|
511 |
308 |
$14K |
| 90750 |
|
91 |
50 |
$13K |
| 90732 |
|
97 |
62 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,862 |
1,466 |
$10K |
| 80050 |
General health panel |
490 |
325 |
$9K |
| 90677 |
|
50 |
50 |
$8K |
| 84550 |
|
1,823 |
1,421 |
$7K |
| 99490 |
Ccm add 20min |
396 |
375 |
$6K |
| 90653 |
|
92 |
45 |
$5K |
| 85651 |
|
1,050 |
744 |
$5K |
| 99443 |
|
118 |
103 |
$4K |
| 86706 |
|
356 |
325 |
$4K |
| 87340 |
|
359 |
327 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
244 |
226 |
$4K |
| 93882 |
|
59 |
59 |
$3K |
| 86803 |
|
227 |
200 |
$3K |
| 90715 |
|
87 |
72 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
48 |
47 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
48 |
47 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
44 |
$2K |
| 90746 |
|
25 |
13 |
$2K |
| 90662 |
|
62 |
62 |
$2K |
| 82607 |
|
150 |
145 |
$1K |
| 93308 |
|
48 |
47 |
$1K |
| 82746 |
|
88 |
88 |
$700.13 |
| 99497 |
|
44 |
44 |
$681.14 |
| G0008 |
Administration of influenza virus vaccine |
174 |
95 |
$659.20 |
| 83540 |
|
97 |
95 |
$618.86 |
| 82728 |
|
62 |
60 |
$507.16 |
| 83550 |
|
47 |
45 |
$402.32 |
| 82550 |
|
90 |
90 |
$370.44 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
29 |
29 |
$338.64 |
| 36415 |
Collection of venous blood by venipuncture |
291 |
277 |
$315.53 |
| 99491 |
Ccm add 20min |
12 |
12 |
$250.17 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
110 |
110 |
$215.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
111 |
111 |
$215.04 |
| G0010 |
Administration of hepatitis b vaccine |
26 |
14 |
$166.40 |
| 81000 |
|
81 |
80 |
$100.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
96 |
$72.60 |
| G0009 |
Administration of pneumococcal vaccine |
65 |
42 |
$53.18 |
| 3008F |
|
174 |
146 |
$0.00 |
| 1111F |
|
142 |
126 |
$0.00 |
| 1036F |
|
177 |
158 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
15 |
$0.00 |
| 3044F |
|
176 |
157 |
$0.00 |
| 3017F |
|
52 |
46 |
$0.00 |
| 1220F |
|
146 |
129 |
$0.00 |
| 3014F |
|
30 |
27 |
$0.00 |
| 3351F |
|
145 |
128 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |
| 4004F |
|
145 |
128 |
$0.00 |
| 3725F |
|
161 |
143 |
$0.00 |
| 4274F |
|
177 |
157 |
$0.00 |
| 3511F |
|
103 |
93 |
$0.00 |
| 3015F |
|
30 |
28 |
$0.00 |
| 3078F |
|
16 |
15 |
$0.00 |