| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,342 |
1,975 |
$345K |
| 0502F |
|
4,723 |
2,496 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,013 |
5,677 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,516 |
1,074 |
$75K |
| 99385 |
|
354 |
256 |
$35K |
| 59025 |
Fetal non-stress test |
1,022 |
342 |
$34K |
| 82570 |
|
6,795 |
4,207 |
$31K |
| 87110 |
|
1,572 |
1,052 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
314 |
205 |
$26K |
| 81003 |
|
6,810 |
4,226 |
$15K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
687 |
487 |
$12K |
| 99000 |
|
615 |
384 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
136 |
69 |
$10K |
| 87210 |
|
1,438 |
1,026 |
$7K |
| 81025 |
|
798 |
545 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
94 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
53 |
$3K |
| 96160 |
|
211 |
155 |
$3K |
| 17250 |
|
135 |
84 |
$3K |
| 58300 |
|
12 |
12 |
$1K |
| 84703 |
|
97 |
54 |
$694.52 |
| 90715 |
|
18 |
12 |
$635.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
30 |
$200.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
14 |
$197.04 |
| 81002 |
|
78 |
66 |
$184.60 |
| 36415 |
Collection of venous blood by venipuncture |
733 |
498 |
$118.15 |
| 80053 |
Comprehensive metabolic panel |
16 |
13 |
$113.96 |
| 88142 |
|
16 |
14 |
$97.28 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
12 |
$88.60 |
| 80061 |
Lipid panel |
15 |
12 |
$19.15 |