| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,573 |
7,746 |
$617K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,304 |
4,861 |
$240K |
| 36415 |
Collection of venous blood by venipuncture |
8,182 |
7,560 |
$32K |
| 80061 |
Lipid panel |
1,708 |
1,673 |
$20K |
| 80053 |
Comprehensive metabolic panel |
2,003 |
1,937 |
$19K |
| 99215 |
Prolong outpt/office vis |
162 |
153 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,533 |
1,481 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
158 |
158 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
543 |
528 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
966 |
938 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
124 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
172 |
161 |
$10K |
| 85027 |
|
1,271 |
1,236 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
779 |
761 |
$7K |
| 90686 |
|
497 |
489 |
$4K |
| 86803 |
|
245 |
245 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
84 |
84 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
198 |
183 |
$2K |
| 99442 |
|
64 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
128 |
$1K |
| 96127 |
|
207 |
199 |
$862.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
131 |
115 |
$838.19 |
| 92551 |
|
143 |
137 |
$702.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
93 |
$610.50 |
| 90682 |
|
12 |
12 |
$598.34 |
| 90480 |
|
15 |
15 |
$467.78 |
| 99441 |
|
34 |
22 |
$359.20 |
| 81001 |
|
128 |
118 |
$333.16 |
| 82728 |
|
24 |
24 |
$324.92 |
| 82043 |
|
39 |
39 |
$204.74 |
| G0008 |
Administration of influenza virus vaccine |
30 |
25 |
$193.53 |
| 82607 |
|
12 |
12 |
$175.90 |
| 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) |
27 |
27 |
$123.61 |
| 99173 |
|
143 |
137 |
$110.86 |
| 87081 |
|
12 |
12 |
$84.13 |
| 87210 |
|
14 |
14 |
$67.15 |
| 85018 |
|
25 |
25 |
$54.46 |
| X5622 |
|
37 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
14 |
$0.00 |