| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,825 |
22,606 |
$133K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,417 |
1,399 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,111 |
2,993 |
$18K |
| 80061 |
Lipid panel |
1,131 |
1,121 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,939 |
1,861 |
$14K |
| 96160 |
|
638 |
528 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,241 |
1,230 |
$12K |
| D1999 |
|
827 |
752 |
$11K |
| D1110 |
Prophylaxis - adult |
371 |
352 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
848 |
839 |
$8K |
| 99442 |
|
479 |
438 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
310 |
303 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,899 |
4,533 |
$7K |
| D0330 |
Panoramic radiographic image |
192 |
185 |
$5K |
| 81001 |
|
1,510 |
1,478 |
$5K |
| 88142 |
|
254 |
253 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
185 |
185 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
132 |
129 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
592 |
577 |
$4K |
| 99441 |
|
3,950 |
3,116 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
181 |
160 |
$2K |
| 84153 |
|
150 |
145 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
184 |
172 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
300 |
298 |
$2K |
| 84439 |
|
222 |
221 |
$2K |
| 90686 |
|
530 |
530 |
$2K |
| 86703 |
|
167 |
167 |
$2K |
| 87590 |
|
98 |
97 |
$2K |
| 87400 |
|
126 |
121 |
$1K |
| D2140 |
|
32 |
29 |
$1K |
| 84478 |
|
226 |
226 |
$1K |
| D1120 |
Prophylaxis - child |
62 |
61 |
$1K |
| 90651 |
|
341 |
341 |
$1K |
| 86592 |
|
249 |
245 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
71 |
$1K |
| 84479 |
|
191 |
189 |
$992.37 |
| 90670 |
|
254 |
254 |
$968.00 |
| 82465 |
|
223 |
222 |
$910.80 |
| 84436 |
|
147 |
145 |
$851.00 |
| 82652 |
|
16 |
16 |
$755.20 |
| 82270 |
|
245 |
245 |
$752.30 |
| 90715 |
|
201 |
201 |
$746.02 |
| 90461 |
|
36 |
36 |
$665.57 |
| 82607 |
|
49 |
46 |
$645.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
94 |
91 |
$618.03 |
| 86580 |
|
66 |
66 |
$553.14 |
| 87270 |
|
38 |
38 |
$507.30 |
| 90723 |
|
132 |
132 |
$500.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
66 |
$456.75 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
20 |
20 |
$437.36 |
| 90633 |
|
111 |
111 |
$432.00 |
| 90680 |
|
112 |
112 |
$428.00 |
| 90707 |
|
102 |
102 |
$404.00 |
| 82274 |
|
27 |
27 |
$394.42 |
| 90647 |
|
103 |
103 |
$388.00 |
| 90733 |
|
172 |
172 |
$376.00 |
| 82044 |
|
136 |
136 |
$328.90 |
| 90620 |
|
84 |
84 |
$328.00 |
| 85651 |
|
89 |
89 |
$296.94 |
| 85730 |
|
46 |
43 |
$263.58 |
| 90716 |
|
60 |
60 |
$232.00 |
| 86803 |
|
17 |
17 |
$231.37 |
| 84703 |
|
29 |
27 |
$207.93 |
| 86631 |
|
14 |
14 |
$203.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
261 |
241 |
$199.94 |
| 85610 |
|
50 |
47 |
$187.50 |
| 90698 |
|
48 |
48 |
$180.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$176.91 |
| 82043 |
|
31 |
29 |
$176.40 |
| 90832 |
Psychotherapy, 30 minutes with patient |
213 |
199 |
$175.57 |
| 90621 |
|
45 |
45 |
$172.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
448 |
$165.83 |
| 80076 |
|
40 |
40 |
$163.59 |
| 97803 |
|
12 |
12 |
$160.93 |
| 90734 |
|
41 |
41 |
$160.00 |
| 90696 |
|
30 |
30 |
$120.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
12 |
$96.66 |
| 80069 |
|
19 |
19 |
$82.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
154 |
$71.07 |
| 93000 |
|
388 |
383 |
$67.00 |
| 90657 |
|
16 |
16 |
$60.00 |
| 82947 |
|
12 |
12 |
$37.50 |
| 90714 |
|
12 |
12 |
$36.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
389 |
293 |
$26.75 |
| 99401 |
|
757 |
734 |
$24.46 |
| 96127 |
|
449 |
436 |
$22.80 |
| 90677 |
|
12 |
12 |
$0.02 |
| 4035F |
|
3,810 |
3,639 |
$0.00 |
| 3078F |
|
2,739 |
2,628 |
$0.00 |
| 3050F |
|
266 |
266 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
694 |
680 |
$0.00 |
| 1160F |
|
7,011 |
6,556 |
$0.00 |
| 0521F |
|
2,553 |
2,373 |
$0.00 |
| 1159F |
|
7,058 |
6,596 |
$0.00 |
| 99408 |
|
364 |
358 |
$0.00 |
| 3077F |
|
1,608 |
1,533 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
20 |
$0.00 |
| 3288F |
|
125 |
123 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 99173 |
|
533 |
529 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
28 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
282 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
56 |
56 |
$0.00 |
| 3051F |
|
30 |
30 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
39 |
38 |
$0.00 |
| 2028F |
|
17 |
17 |
$0.00 |
| 90623 |
|
13 |
13 |
$0.00 |
| 3079F |
|
2,146 |
2,053 |
$0.00 |
| 1126F |
|
4,544 |
4,311 |
$0.00 |
| 2001F |
|
7,177 |
6,675 |
$0.00 |
| 3074F |
|
3,215 |
3,032 |
$0.00 |
| 2010F |
|
5,698 |
5,297 |
$0.00 |
| 2000F |
|
5,775 |
5,383 |
$0.00 |
| 3008F |
|
5,222 |
4,894 |
$0.00 |
| 3061F |
|
202 |
202 |
$0.00 |
| 3044F |
|
335 |
329 |
$0.00 |
| 3060F |
|
64 |
63 |
$0.00 |
| 3048F |
|
793 |
789 |
$0.00 |
| 1170F |
|
993 |
913 |
$0.00 |
| 3075F |
|
759 |
742 |
$0.00 |
| 3049F |
|
410 |
407 |
$0.00 |
| 1125F |
|
3,651 |
3,406 |
$0.00 |
| 3080F |
|
540 |
514 |
$0.00 |
| 4060F |
|
57 |
55 |
$0.00 |
| 3017F |
|
276 |
269 |
$0.00 |
| 88150 |
|
73 |
73 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
283 |
269 |
$0.00 |
| 96112 |
|
107 |
107 |
$0.00 |
| 3014F |
|
28 |
28 |
$0.00 |
| 4010F |
|
31 |
31 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |