| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,407 |
6,656 |
$740K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,887 |
3,106 |
$224K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
874 |
870 |
$82K |
| 86769 |
|
1,662 |
1,659 |
$42K |
| 99497 |
|
661 |
573 |
$41K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,443 |
1,440 |
$31K |
| 93000 |
|
2,098 |
2,066 |
$23K |
| 82728 |
|
1,944 |
1,938 |
$19K |
| 82607 |
|
1,947 |
1,942 |
$17K |
| 82746 |
|
1,945 |
1,940 |
$17K |
| 82626 |
|
943 |
939 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
146 |
146 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,044 |
2,036 |
$13K |
| 84439 |
|
2,026 |
2,018 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
240 |
161 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
825 |
691 |
$10K |
| 84480 |
|
2,029 |
2,021 |
$8K |
| 90674 |
|
273 |
270 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
265 |
239 |
$7K |
| 82670 |
|
361 |
360 |
$7K |
| 84144 |
|
376 |
375 |
$6K |
| 84146 |
|
377 |
376 |
$5K |
| 83001 |
|
374 |
373 |
$5K |
| 83002 |
|
361 |
360 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
239 |
161 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
289 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
16 |
16 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,046 |
824 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 84403 |
|
60 |
58 |
$1K |
| 99051 |
|
135 |
130 |
$729.24 |
| 36415 |
Collection of venous blood by venipuncture |
2,128 |
2,079 |
$653.55 |
| 90688 |
|
36 |
35 |
$570.66 |
| 99401 |
|
35 |
31 |
$352.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
66 |
63 |
$343.54 |
| 84402 |
|
14 |
14 |
$342.02 |
| 84153 |
|
24 |
24 |
$264.02 |
| 99072 |
|
74 |
69 |
$85.75 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$70.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
98 |
66 |
$46.51 |
| 84270 |
|
61 |
59 |
$7.82 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
344 |
282 |
$0.25 |
| 36000 |
|
145 |
101 |
$0.00 |