| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,052 |
14,293 |
$1.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,663 |
12,763 |
$958K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,450 |
1,352 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,122 |
1,108 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
403 |
393 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
398 |
391 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
420 |
411 |
$15K |
| 80053 |
Comprehensive metabolic panel |
1,857 |
1,736 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
409 |
377 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,347 |
2,201 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
796 |
764 |
$8K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
55 |
55 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
44 |
43 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
68 |
$2K |
| 80061 |
Lipid panel |
108 |
107 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$945.67 |
| 99222 |
Initial hospital care, per day, moderate complexity |
27 |
24 |
$900.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
100 |
98 |
$577.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
64 |
$480.88 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$479.71 |
| 81001 |
|
194 |
183 |
$445.03 |
| 87084 |
|
47 |
42 |
$304.54 |
| 81003 |
|
162 |
159 |
$150.41 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
15 |
$133.47 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
13 |
13 |
$2.18 |
| 99000 |
|
37 |
36 |
$0.00 |