| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,918 |
12,337 |
$755K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,880 |
12,909 |
$681K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,720 |
5,283 |
$63K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,747 |
2,216 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,137 |
959 |
$24K |
| 99491 |
Ccm add 20min |
1,028 |
945 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
680 |
473 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
152 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
165 |
$12K |
| 87428 |
|
453 |
310 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,751 |
2,241 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
386 |
329 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
76 |
$7K |
| 99215 |
Prolong outpt/office vis |
110 |
102 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$6K |
| 92551 |
|
587 |
537 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,095 |
3,529 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,526 |
1,300 |
$4K |
| 87807 |
|
337 |
284 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
472 |
361 |
$3K |
| 59425 |
|
44 |
31 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 80061 |
Lipid panel |
850 |
693 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
37 |
29 |
$2K |
| 99442 |
|
26 |
24 |
$1K |
| 99173 |
|
564 |
522 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$996.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
142 |
122 |
$791.60 |
| 90686 |
|
252 |
198 |
$566.67 |
| 96160 |
|
328 |
291 |
$495.38 |
| 96127 |
|
155 |
106 |
$324.51 |
| 83655 |
|
26 |
25 |
$286.51 |
| 94010 |
|
15 |
13 |
$270.37 |
| 99051 |
|
14 |
14 |
$269.70 |
| 90461 |
|
129 |
92 |
$259.03 |
| 81003 |
|
298 |
240 |
$198.82 |
| 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) |
61 |
61 |
$180.80 |
| 99459 |
|
59 |
50 |
$180.00 |
| 85027 |
|
273 |
244 |
$136.78 |
| 81001 |
|
69 |
65 |
$99.16 |
| 90715 |
|
18 |
12 |
$76.80 |
| 81025 |
|
24 |
17 |
$76.73 |
| 84443 |
Thyroid stimulating hormone (TSH) |
67 |
47 |
$68.05 |
| 80305 |
|
12 |
12 |
$60.55 |
| 99490 |
Ccm add 20min |
12 |
12 |
$46.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
62 |
$37.32 |
| 90633 |
|
68 |
56 |
$35.20 |
| 81002 |
|
12 |
12 |
$12.52 |
| 94760 |
|
69 |
57 |
$11.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
41 |
$7.96 |
| G9231 |
Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period |
85 |
56 |
$0.00 |
| 36416 |
|
72 |
64 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
21 |
16 |
$0.00 |
| 90670 |
|
15 |
12 |
$0.00 |