| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,997 |
14,622 |
$762K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,495 |
8,693 |
$318K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,592 |
4,181 |
$285K |
| 99215 |
Prolong outpt/office vis |
963 |
870 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
771 |
737 |
$46K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,747 |
1,451 |
$38K |
| 90837 |
Psychotherapy, 53 minutes with patient |
408 |
312 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
458 |
442 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
381 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
341 |
$21K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
879 |
433 |
$19K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
242 |
172 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
707 |
626 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,515 |
1,189 |
$14K |
| 80061 |
Lipid panel |
2,048 |
1,596 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,894 |
2,268 |
$12K |
| 80053 |
Comprehensive metabolic panel |
2,136 |
1,635 |
$12K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
41 |
39 |
$11K |
| 80050 |
General health panel |
411 |
319 |
$11K |
| 90674 |
|
698 |
649 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,759 |
1,421 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
512 |
495 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,631 |
1,246 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
86 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
148 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
219 |
110 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
82 |
$5K |
| 85027 |
|
1,256 |
957 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
71 |
65 |
$3K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
40 |
27 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
25 |
$3K |
| 3008F |
|
395 |
360 |
$3K |
| 99205 |
Prolong outpt/office vis |
33 |
28 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
18 |
15 |
$2K |
| 90677 |
|
76 |
70 |
$2K |
| 86140 |
|
633 |
533 |
$2K |
| 81001 |
|
1,308 |
1,128 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
46 |
45 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
43 |
38 |
$2K |
| 90661 |
|
80 |
79 |
$2K |
| 11721 |
|
161 |
154 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
34 |
$1K |
| 92567 |
|
94 |
87 |
$1K |
| 84153 |
|
102 |
85 |
$1K |
| 90680 |
|
41 |
39 |
$852.93 |
| 36415 |
Collection of venous blood by venipuncture |
12,026 |
9,427 |
$844.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$827.39 |
| 85610 |
|
560 |
297 |
$817.35 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
46 |
30 |
$803.56 |
| 90697 |
|
29 |
27 |
$764.40 |
| 92015 |
Determination of refractive state |
78 |
73 |
$666.89 |
| 92557 |
|
27 |
25 |
$661.24 |
| 81025 |
|
137 |
108 |
$553.81 |
| 90670 |
|
41 |
38 |
$532.80 |
| 93298 |
|
53 |
53 |
$486.12 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
12 |
$340.24 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$289.73 |
| 83735 |
|
75 |
54 |
$248.20 |
| 85652 |
|
152 |
125 |
$214.92 |
| 74018 |
|
17 |
16 |
$211.52 |
| 73630 |
|
16 |
12 |
$202.80 |
| 91321 |
|
13 |
12 |
$166.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
147 |
111 |
$163.97 |
| 84702 |
|
22 |
13 |
$139.22 |
| 87210 |
|
25 |
24 |
$113.54 |
| 80047 |
|
31 |
24 |
$106.97 |
| 85018 |
|
70 |
59 |
$78.19 |
| 82043 |
|
14 |
13 |
$58.26 |
| G0008 |
Administration of influenza virus vaccine |
193 |
162 |
$53.10 |
| 81003 |
|
14 |
14 |
$43.06 |
| 82570 |
|
14 |
13 |
$41.43 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$21.09 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
20 |
12 |
$17.59 |
| 93297 |
|
12 |
12 |
$15.74 |
| 99415 |
Prolong outpt/office vis |
19 |
12 |
$7.12 |
| 86580 |
|
91 |
27 |
$0.00 |