| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,822 |
2,878 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,372 |
2,856 |
$125K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,144 |
1,095 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
801 |
728 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
415 |
349 |
$3K |
| 0011A |
|
81 |
79 |
$3K |
| 99215 |
Prolong outpt/office vis |
56 |
38 |
$2K |
| 0012A |
|
62 |
62 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
104 |
97 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
42 |
$640.00 |
| 90674 |
|
26 |
25 |
$628.74 |
| 92015 |
Determination of refractive state |
119 |
108 |
$621.00 |
| 80061 |
Lipid panel |
71 |
63 |
$588.00 |
| 80053 |
Comprehensive metabolic panel |
48 |
38 |
$324.00 |
| 94729 |
|
14 |
12 |
$265.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
46 |
36 |
$260.00 |
| 94727 |
|
14 |
12 |
$212.00 |
| 94010 |
|
14 |
12 |
$205.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$190.00 |
| 85027 |
|
17 |
14 |
$45.00 |
| 86592 |
|
13 |
12 |
$40.00 |
| 82948 |
|
12 |
12 |
$28.00 |
| 81002 |
|
28 |
14 |
$23.61 |
| 91301 |
|
170 |
161 |
$0.00 |
| 99441 |
|
26 |
25 |
$0.00 |
| 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) |
948 |
652 |
$0.00 |