| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,946 |
15,355 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,615 |
11,546 |
$959K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,045 |
1,024 |
$119K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,236 |
1,604 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
905 |
874 |
$91K |
| 80050 |
General health panel |
2,247 |
2,192 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
595 |
583 |
$70K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,382 |
1,106 |
$62K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,592 |
766 |
$49K |
| 99215 |
Prolong outpt/office vis |
317 |
282 |
$46K |
| 80061 |
Lipid panel |
4,768 |
4,582 |
$41K |
| 97810 |
|
1,141 |
468 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,075 |
4,871 |
$31K |
| 97811 |
|
1,143 |
468 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,226 |
1,186 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
147 |
$23K |
| 90686 |
|
1,215 |
1,173 |
$23K |
| 80053 |
Comprehensive metabolic panel |
3,453 |
3,252 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
9,335 |
8,582 |
$22K |
| 99072 |
|
2,672 |
2,053 |
$20K |
| 96127 |
|
3,480 |
3,322 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,008 |
976 |
$19K |
| 96158 |
|
352 |
233 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,081 |
2,917 |
$15K |
| 82728 |
|
1,534 |
1,489 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
89 |
49 |
$14K |
| 96152 |
|
191 |
103 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
447 |
271 |
$12K |
| 96159 |
|
352 |
234 |
$12K |
| 82607 |
|
1,145 |
1,102 |
$11K |
| 97162 |
|
165 |
162 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
392 |
381 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
390 |
379 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
164 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
639 |
603 |
$6K |
| 96160 |
|
1,993 |
1,914 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
261 |
199 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
78 |
73 |
$5K |
| 84439 |
|
839 |
810 |
$5K |
| 90715 |
|
136 |
133 |
$4K |
| 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) |
339 |
317 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$3K |
| 86701 |
|
369 |
360 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
15 |
$2K |
| 84480 |
|
204 |
199 |
$2K |
| 86141 |
|
151 |
147 |
$1K |
| 83525 |
|
151 |
144 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 81002 |
|
468 |
426 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
98 |
$905.56 |
| 90670 |
|
13 |
13 |
$672.22 |
| 96153 |
|
25 |
13 |
$475.59 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
12 |
$463.93 |
| 84550 |
|
122 |
118 |
$338.28 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
14 |
13 |
$257.12 |
| 83735 |
|
60 |
53 |
$229.86 |
| 84703 |
|
43 |
42 |
$226.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$175.56 |
| 93000 |
|
12 |
12 |
$143.27 |
| 85027 |
|
38 |
35 |
$138.80 |
| 82044 |
|
29 |
28 |
$108.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
634 |
612 |
$69.00 |
| 90461 |
|
274 |
267 |
$43.92 |
| 1111F |
|
52 |
49 |
$0.00 |