| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,292 |
8,624 |
$379K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
84 |
41 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,946 |
5,824 |
$20K |
| 80053 |
Comprehensive metabolic panel |
4,227 |
3,181 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,529 |
1,261 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
410 |
347 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,417 |
1,811 |
$6K |
| 80061 |
Lipid panel |
1,662 |
1,441 |
$4K |
| 82607 |
|
850 |
736 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,812 |
1,527 |
$3K |
| 82728 |
|
887 |
736 |
$2K |
| 80076 |
|
1,001 |
734 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
594 |
495 |
$735.27 |
| 99490 |
Ccm add 20min |
784 |
603 |
$501.00 |
| 83540 |
|
886 |
729 |
$494.74 |
| 83550 |
|
621 |
517 |
$478.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
33 |
$470.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
51 |
$352.08 |
| 51798 |
|
220 |
173 |
$210.78 |
| 84153 |
|
142 |
112 |
$162.65 |
| 82570 |
|
207 |
169 |
$97.40 |
| 82043 |
|
228 |
187 |
$75.91 |
| 84439 |
|
31 |
24 |
$67.87 |
| 74018 |
|
15 |
12 |
$59.60 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
62 |
$33.03 |
| 81003 |
|
133 |
103 |
$21.14 |
| 84460 |
|
54 |
41 |
$20.20 |
| 87186 |
|
29 |
26 |
$14.54 |
| 84450 |
|
39 |
29 |
$13.75 |
| 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) |
132 |
100 |
$6.54 |
| 87088 |
|
15 |
14 |
$6.48 |
| 1170F |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
25 |
17 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
18 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |