| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,169 |
18,373 |
$859K |
| 99199 |
Unlisted special service, procedure or report |
35,816 |
21,512 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,802 |
2,367 |
$84K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
721 |
258 |
$69K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
502 |
457 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
666 |
586 |
$38K |
| 99215 |
Prolong outpt/office vis |
726 |
611 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
156 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
462 |
413 |
$16K |
| 59025 |
Fetal non-stress test |
793 |
510 |
$16K |
| 11721 |
|
2,094 |
1,730 |
$14K |
| 0240U |
|
108 |
90 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
9,030 |
7,490 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
629 |
566 |
$10K |
| 64483 |
|
66 |
52 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
207 |
169 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
518 |
465 |
$6K |
| 99051 |
|
208 |
181 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
247 |
175 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
247 |
175 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,019 |
929 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
216 |
174 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
142 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
39 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
771 |
715 |
$3K |
| 81001 |
|
1,965 |
1,654 |
$3K |
| 80061 |
Lipid panel |
966 |
902 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,282 |
1,150 |
$3K |
| 87806 |
|
132 |
96 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
46 |
$2K |
| 95886 |
|
57 |
52 |
$2K |
| 73630 |
|
112 |
78 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
63 |
25 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
163 |
137 |
$1K |
| 94375 |
|
99 |
96 |
$812.32 |
| 11056 |
|
57 |
53 |
$783.03 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$766.85 |
| 71046 |
Radiologic examination, chest; 2 views |
113 |
108 |
$748.68 |
| 94010 |
|
109 |
91 |
$741.40 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
281 |
243 |
$724.17 |
| 99218 |
|
13 |
12 |
$617.10 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
14 |
12 |
$600.00 |
| 94729 |
|
75 |
64 |
$560.83 |
| 82043 |
|
316 |
290 |
$544.66 |
| 84460 |
|
194 |
153 |
$499.05 |
| 80053 |
Comprehensive metabolic panel |
922 |
868 |
$497.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$495.69 |
| 90674 |
|
181 |
173 |
$452.28 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
135 |
128 |
$425.82 |
| 84450 |
|
194 |
153 |
$419.65 |
| 93000 |
|
57 |
51 |
$398.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
146 |
$385.85 |
| 85652 |
|
285 |
229 |
$384.37 |
| 82565 |
|
169 |
136 |
$382.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$363.99 |
| 97597 |
|
32 |
24 |
$341.24 |
| 94727 |
|
63 |
52 |
$332.80 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
20 |
13 |
$304.83 |
| 95251 |
|
18 |
14 |
$302.87 |
| 99225 |
|
19 |
13 |
$280.91 |
| 82607 |
|
25 |
25 |
$232.42 |
| 87210 |
|
62 |
53 |
$226.42 |
| 90686 |
|
66 |
54 |
$198.50 |
| 82570 |
|
112 |
102 |
$165.41 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
29 |
27 |
$139.51 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
194 |
175 |
$129.41 |
| 80076 |
|
14 |
12 |
$79.81 |
| 82040 |
|
33 |
29 |
$73.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
107 |
88 |
$35.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
81 |
80 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
31 |
31 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
96 |
95 |
$0.00 |
| 82248 |
|
13 |
13 |
$0.00 |
| 99401 |
|
28 |
28 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
28 |
27 |
$0.00 |