| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,082 |
28,299 |
$1.98M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,441 |
5,724 |
$727K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17,602 |
14,038 |
$337K |
| 94010 |
|
16,450 |
12,651 |
$282K |
| 84443 |
Thyroid stimulating hormone (TSH) |
20,947 |
16,658 |
$220K |
| 84681 |
|
15,204 |
12,626 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,983 |
3,931 |
$202K |
| 80061 |
Lipid panel |
23,518 |
17,752 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,078 |
1,636 |
$165K |
| 82607 |
|
15,745 |
12,694 |
$154K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,402 |
23,330 |
$151K |
| 92552 |
|
8,092 |
6,296 |
$136K |
| 84439 |
|
17,589 |
14,093 |
$102K |
| 83735 |
|
24,048 |
18,175 |
$98K |
| 93000 |
|
10,611 |
8,207 |
$87K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,067 |
11,978 |
$87K |
| 80076 |
|
18,368 |
13,622 |
$84K |
| 82310 |
|
29,369 |
22,756 |
$79K |
| 82565 |
|
30,426 |
23,339 |
$75K |
| 82150 |
|
23,486 |
17,772 |
$72K |
| 84550 |
|
24,172 |
18,212 |
$64K |
| 82550 |
|
17,754 |
13,254 |
$63K |
| 84295 |
|
30,636 |
23,370 |
$61K |
| 93970 |
|
518 |
406 |
$58K |
| 84132 |
|
30,630 |
23,377 |
$54K |
| 81002 |
|
31,438 |
24,141 |
$49K |
| 84520 |
|
30,429 |
23,323 |
$45K |
| 96127 |
|
13,578 |
10,633 |
$45K |
| 82948 |
|
17,287 |
14,527 |
$44K |
| 80305 |
|
5,593 |
4,284 |
$43K |
| 99215 |
Prolong outpt/office vis |
345 |
270 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
31,185 |
23,018 |
$25K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
65 |
15 |
$23K |
| 90674 |
|
1,075 |
863 |
$20K |
| 84460 |
|
5,121 |
4,120 |
$19K |
| 94060 |
|
768 |
534 |
$19K |
| 82947 |
|
11,762 |
8,059 |
$19K |
| 84075 |
|
5,133 |
4,118 |
$16K |
| 84153 |
|
1,403 |
1,114 |
$15K |
| 84450 |
|
5,122 |
4,114 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,218 |
959 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,728 |
1,188 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
185 |
$13K |
| 3023F |
|
9,611 |
7,913 |
$12K |
| 0513F |
|
6,182 |
4,848 |
$12K |
| 20610 |
|
264 |
138 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,388 |
1,149 |
$5K |
| 90756 |
|
470 |
343 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
106 |
79 |
$4K |
| 99173 |
|
2,101 |
1,681 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
65 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,049 |
3,751 |
$2K |
| 2015F |
|
2,232 |
1,735 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| 77080 |
|
77 |
62 |
$1K |
| 94760 |
|
3,795 |
3,037 |
$1K |
| 99443 |
|
54 |
35 |
$1K |
| 99000 |
|
612 |
419 |
$848.03 |
| 3288F |
|
1,334 |
919 |
$625.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,384 |
1,090 |
$483.73 |
| 90661 |
|
162 |
143 |
$477.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
251 |
121 |
$441.59 |
| 3046F |
|
394 |
301 |
$348.00 |
| 99454 |
|
13 |
13 |
$271.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
14 |
$247.21 |
| 99457 |
|
62 |
39 |
$226.90 |
| 3044F |
|
291 |
222 |
$218.00 |
| 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) |
50 |
44 |
$157.53 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
50 |
$75.83 |
| 82950 |
|
43 |
32 |
$75.13 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
60 |
26 |
$57.56 |
| 3052F |
|
35 |
29 |
$48.00 |
| 3045F |
|
119 |
94 |
$45.00 |
| S9982 |
Medical records copying fee, per page |
25 |
25 |
$14.00 |
| 36416 |
|
42 |
31 |
$11.53 |
| G0008 |
Administration of influenza virus vaccine |
54 |
34 |
$9.00 |
| 99406 |
|
931 |
773 |
$2.64 |
| 99071 |
|
697 |
414 |
$0.41 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
203 |
112 |
$0.30 |
| 1091F |
|
93 |
65 |
$0.00 |
| 3117F |
|
226 |
165 |
$0.00 |
| 3008F |
|
249 |
205 |
$0.00 |
| 3011F |
|
1,637 |
1,191 |
$0.00 |
| 0509F |
|
339 |
162 |
$0.00 |
| 1101F |
|
206 |
98 |
$0.00 |
| 1111F |
|
36 |
24 |
$0.00 |
| M1278 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
13 |
13 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |