| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,525 |
10,739 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,977 |
2,532 |
$142K |
| W0037 |
|
4,000 |
4,000 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,714 |
1,503 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,399 |
1,289 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
493 |
479 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
375 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,656 |
2,538 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,241 |
1,122 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,023 |
972 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
5,788 |
4,891 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
216 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,720 |
2,361 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,638 |
1,402 |
$8K |
| 80061 |
Lipid panel |
1,545 |
1,403 |
$8K |
| 85027 |
|
1,223 |
1,084 |
$7K |
| 80053 |
Comprehensive metabolic panel |
599 |
534 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
201 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
140 |
$5K |
| 80076 |
|
1,557 |
1,427 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
536 |
460 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
59 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
96 |
92 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
891 |
807 |
$3K |
| 81001 |
|
1,506 |
1,265 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
497 |
296 |
$3K |
| 90671 |
|
12 |
12 |
$3K |
| 90686 |
|
613 |
605 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
43 |
$2K |
| 90651 |
|
77 |
74 |
$2K |
| 74018 |
|
138 |
104 |
$2K |
| 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) |
218 |
171 |
$813.06 |
| 0071A |
|
12 |
12 |
$432.37 |
| 0011A |
|
12 |
12 |
$428.40 |
| 99173 |
|
25 |
24 |
$324.99 |
| 85007 |
|
79 |
65 |
$306.96 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$284.49 |
| D1206 |
Topical application of fluoride varnish |
29 |
27 |
$231.84 |
| 90656 |
|
19 |
18 |
$201.10 |
| 84439 |
|
45 |
38 |
$191.81 |
| 87807 |
|
14 |
13 |
$157.20 |
| 96127 |
|
20 |
16 |
$80.00 |
| 87210 |
|
13 |
12 |
$23.28 |
| 91301 |
|
19 |
17 |
$0.03 |
| 99000 |
|
150 |
132 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
74 |
$0.00 |
| 3044F |
|
222 |
199 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| 99072 |
|
216 |
195 |
$0.00 |
| 90461 |
|
52 |
52 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |