| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,636 |
7,551 |
$729K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,236 |
6,074 |
$447K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
740 |
722 |
$70K |
| 99223 |
Prolong inpt eval add15 m |
696 |
626 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,005 |
227 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
436 |
417 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
202 |
195 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
467 |
449 |
$21K |
| 99215 |
Prolong outpt/office vis |
104 |
97 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
137 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
162 |
126 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
2,402 |
1,819 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,979 |
1,868 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
89 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
90 |
82 |
$4K |
| 90688 |
|
78 |
78 |
$1K |
| 99406 |
|
150 |
142 |
$1K |
| 90756 |
|
43 |
43 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
24 |
$969.65 |
| G0008 |
Administration of influenza virus vaccine |
132 |
132 |
$962.78 |
| 99348 |
|
14 |
14 |
$803.33 |
| 80053 |
Comprehensive metabolic panel |
77 |
76 |
$734.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
76 |
75 |
$554.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
34 |
$497.86 |
| 99443 |
|
12 |
12 |
$362.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$227.22 |
| 80061 |
Lipid panel |
20 |
20 |
$225.45 |
| 80306 |
|
13 |
12 |
$198.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
21 |
$176.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
18 |
$86.99 |
| 81003 |
|
43 |
40 |
$53.52 |
| 82962 |
|
13 |
12 |
$34.25 |
| 3077F |
|
2,589 |
1,959 |
$6.33 |
| 3080F |
|
1,820 |
1,371 |
$6.30 |
| 3078F |
|
6,728 |
5,034 |
$1.79 |
| 3074F |
|
7,363 |
5,473 |
$1.70 |
| 3075F |
|
2,511 |
1,988 |
$0.59 |
| 3079F |
|
3,898 |
3,079 |
$0.50 |
| G8432 |
Depression screening not documented, reason not given |
1,449 |
1,121 |
$0.01 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
52 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
744 |
725 |
$0.00 |