| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,112 |
5,646 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,960 |
4,608 |
$206K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,571 |
2,983 |
$26K |
| 80061 |
Lipid panel |
1,559 |
1,501 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
220 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
225 |
219 |
$22K |
| 80053 |
Comprehensive metabolic panel |
1,609 |
1,559 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
428 |
133 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
556 |
201 |
$20K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
208 |
201 |
$18K |
| 95117 |
|
1,927 |
990 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
568 |
557 |
$14K |
| 80050 |
General health panel |
247 |
243 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
92 |
91 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,522 |
1,427 |
$10K |
| 90686 |
|
1,762 |
1,704 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
872 |
835 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,002 |
940 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
89 |
84 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
63 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
94 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
192 |
$3K |
| 93000 |
|
166 |
162 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$3K |
| 87081 |
|
427 |
395 |
$3K |
| 99173 |
|
1,616 |
1,561 |
$3K |
| 92551 |
|
1,166 |
1,120 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
277 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
89 |
87 |
$2K |
| 90670 |
|
270 |
265 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
183 |
133 |
$2K |
| 82607 |
|
131 |
128 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
16 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
63 |
25 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
80 |
75 |
$768.54 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
31 |
31 |
$713.46 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$612.36 |
| 87428 |
|
15 |
13 |
$532.48 |
| 36415 |
Collection of venous blood by venipuncture |
602 |
581 |
$507.55 |
| 83540 |
|
57 |
55 |
$459.75 |
| 82728 |
|
41 |
40 |
$451.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$417.60 |
| 90651 |
|
53 |
53 |
$386.36 |
| 86580 |
|
87 |
77 |
$348.79 |
| 82043 |
|
38 |
38 |
$325.64 |
| 85027 |
|
38 |
37 |
$322.62 |
| 82570 |
|
38 |
38 |
$291.18 |
| 90715 |
|
193 |
190 |
$276.10 |
| 3074F |
|
3,190 |
2,990 |
$235.00 |
| 92552 |
|
62 |
61 |
$213.76 |
| 83655 |
|
188 |
180 |
$210.65 |
| 83550 |
|
43 |
41 |
$199.66 |
| 11721 |
|
16 |
14 |
$197.43 |
| 99051 |
|
113 |
108 |
$176.10 |
| 90461 |
|
109 |
106 |
$169.03 |
| 3078F |
|
2,880 |
2,706 |
$160.00 |
| 90723 |
|
94 |
83 |
$156.00 |
| 96127 |
|
59 |
58 |
$75.01 |
| 96160 |
|
98 |
97 |
$48.19 |
| 99307 |
|
16 |
12 |
$20.98 |
| 85018 |
|
36 |
25 |
$9.36 |
| 85013 |
|
25 |
25 |
$4.74 |
| 3008F |
|
2,725 |
2,481 |
$0.00 |
| 1111F |
|
2,175 |
2,010 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90677 |
|
223 |
218 |
$0.00 |
| 90619 |
|
103 |
103 |
$0.00 |
| 90656 |
|
273 |
272 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |
| 90647 |
|
43 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
100 |
79 |
$0.00 |
| 91320 |
|
66 |
60 |
$0.00 |
| G9920 |
Screening performed and negative |
46 |
46 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99072 |
|
106 |
101 |
$0.00 |
| 2028F |
|
17 |
17 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |