| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,562 |
14,292 |
$949K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,199 |
14,124 |
$850K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,069 |
968 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,022 |
1,014 |
$102K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,053 |
987 |
$49K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
554 |
532 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
393 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
276 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
884 |
840 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
283 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,399 |
2,766 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,471 |
1,503 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
71 |
65 |
$10K |
| 81003 |
|
4,980 |
3,369 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,665 |
1,016 |
$9K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
124 |
91 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,324 |
1,267 |
$7K |
| 90723 |
|
186 |
182 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
138 |
133 |
$6K |
| 87634 |
|
95 |
94 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
42 |
$5K |
| 90686 |
|
477 |
473 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
113 |
83 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
173 |
65 |
$3K |
| 90670 |
|
358 |
353 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
78 |
$2K |
| 20610 |
|
70 |
63 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
337 |
205 |
$2K |
| 90677 |
|
116 |
113 |
$1K |
| 90647 |
|
136 |
132 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
36 |
25 |
$919.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
67 |
49 |
$657.36 |
| 82728 |
|
69 |
57 |
$576.78 |
| 73630 |
|
81 |
76 |
$539.88 |
| 95806 |
|
14 |
12 |
$520.11 |
| 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) |
213 |
200 |
$514.97 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$500.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
76 |
$423.53 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$400.45 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$377.88 |
| 73100 |
|
15 |
13 |
$343.59 |
| 59025 |
Fetal non-stress test |
16 |
13 |
$299.02 |
| 80061 |
Lipid panel |
30 |
24 |
$245.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$219.92 |
| 96161 |
|
63 |
58 |
$175.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
25 |
$156.32 |
| 84481 |
|
13 |
12 |
$142.96 |
| 90633 |
|
15 |
15 |
$128.49 |
| 90734 |
|
14 |
13 |
$111.42 |
| 95251 |
|
12 |
12 |
$97.40 |
| 73610 |
|
15 |
15 |
$94.00 |
| 74018 |
|
12 |
12 |
$71.70 |
| 84439 |
|
13 |
12 |
$68.40 |
| 85652 |
|
31 |
29 |
$46.38 |
| 36415 |
Collection of venous blood by venipuncture |
299 |
240 |
$36.39 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$20.83 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |