| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,383 |
2,216 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,605 |
2,416 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,243 |
1,173 |
$105K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
56 |
55 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
729 |
705 |
$46K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
171 |
156 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
599 |
530 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
175 |
164 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
114 |
106 |
$8K |
| 95115 |
|
1,135 |
678 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
32 |
32 |
$4K |
| 76801 |
|
61 |
53 |
$4K |
| 52000 |
|
31 |
30 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
24 |
24 |
$3K |
| 95117 |
|
487 |
343 |
$3K |
| 52356 |
|
14 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
82 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$2K |
| 90677 |
|
67 |
67 |
$2K |
| 76830 |
Ultrasound, transvaginal |
56 |
54 |
$2K |
| 94010 |
|
186 |
174 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
72 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
199 |
$1K |
| 81003 |
|
1,179 |
983 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
132 |
129 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
121 |
$950.84 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$853.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
152 |
$766.48 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$639.09 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
185 |
$559.55 |
| 80061 |
Lipid panel |
46 |
46 |
$555.49 |
| 90686 |
|
156 |
155 |
$481.79 |
| 90461 |
|
74 |
74 |
$455.73 |
| 80050 |
General health panel |
14 |
14 |
$448.40 |
| 81000 |
|
292 |
249 |
$437.17 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$428.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
39 |
$416.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
56 |
$413.92 |
| 94060 |
|
26 |
26 |
$394.29 |
| 95012 |
|
47 |
41 |
$377.99 |
| 80053 |
Comprehensive metabolic panel |
57 |
53 |
$366.77 |
| 81001 |
|
284 |
235 |
$365.93 |
| 96127 |
|
186 |
166 |
$353.68 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
14 |
$347.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
20 |
19 |
$311.49 |
| 99459 |
|
28 |
26 |
$300.94 |
| 94762 |
|
28 |
25 |
$265.91 |
| 51798 |
|
190 |
184 |
$249.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
22 |
$227.84 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$186.46 |
| 94729 |
|
13 |
13 |
$181.45 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$169.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
40 |
$169.75 |
| 94726 |
|
13 |
13 |
$155.35 |
| 90715 |
|
12 |
12 |
$151.88 |
| 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) |
28 |
27 |
$99.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$77.35 |
| A4617 |
Mouth piece |
66 |
63 |
$69.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$62.15 |
| 92015 |
Determination of refractive state |
20 |
20 |
$54.96 |
| 81025 |
|
12 |
12 |
$52.83 |
| 87081 |
|
14 |
14 |
$46.01 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$36.98 |
| 99024 |
|
418 |
374 |
$0.01 |
| 90723 |
|
53 |
53 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$0.00 |
| 94760 |
|
21 |
20 |
$0.00 |
| 90680 |
|
49 |
49 |
$0.00 |
| 90648 |
|
58 |
58 |
$0.00 |
| 99173 |
|
68 |
68 |
$0.00 |