| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,335 |
3,932 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,991 |
2,901 |
$81K |
| 99490 |
Ccm add 20min |
3,350 |
3,304 |
$26K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,832 |
1,637 |
$21K |
| 99457 |
|
3,225 |
3,181 |
$19K |
| 99454 |
|
1,437 |
1,433 |
$12K |
| 99424 |
|
899 |
881 |
$9K |
| 76536 |
|
321 |
314 |
$9K |
| 95251 |
|
1,609 |
1,471 |
$7K |
| 0002A |
|
172 |
172 |
$7K |
| 0001A |
|
177 |
177 |
$7K |
| 95250 |
|
237 |
229 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
94 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
327 |
281 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,139 |
3,075 |
$2K |
| 0004A |
|
34 |
34 |
$1K |
| 93922 |
|
54 |
53 |
$1K |
| 82947 |
|
2,314 |
2,257 |
$694.01 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$669.58 |
| 95923 |
|
13 |
13 |
$594.64 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
28 |
$450.28 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
13 |
12 |
$309.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
666 |
660 |
$231.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
129 |
129 |
$201.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$182.08 |
| 99000 |
|
3,175 |
3,105 |
$116.07 |
| 84443 |
Thyroid stimulating hormone (TSH) |
151 |
151 |
$99.56 |
| 84439 |
|
163 |
163 |
$84.87 |
| 99091 |
|
134 |
134 |
$82.08 |
| 92229 |
|
13 |
13 |
$61.21 |
| 99453 |
|
19 |
19 |
$55.46 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
12 |
$53.16 |
| 80061 |
Lipid panel |
126 |
126 |
$10.71 |
| 80076 |
|
86 |
86 |
$6.54 |
| 83735 |
|
101 |
101 |
$5.36 |
| 84100 |
|
86 |
86 |
$3.79 |
| 91300 |
|
68 |
61 |
$0.00 |