| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,691 |
25,009 |
$870K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,665 |
12,897 |
$710K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,601 |
5,411 |
$136K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
687 |
561 |
$133K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,724 |
3,164 |
$123K |
| 87631 |
|
1,663 |
1,409 |
$117K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
687 |
619 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,055 |
2,984 |
$63K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,255 |
7,219 |
$38K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,408 |
1,726 |
$32K |
| 80053 |
Comprehensive metabolic panel |
6,095 |
4,765 |
$32K |
| 80061 |
Lipid panel |
2,878 |
2,230 |
$16K |
| 99490 |
Ccm add 20min |
1,033 |
728 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
1,014 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
162 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
63 |
53 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,706 |
1,347 |
$6K |
| 99307 |
|
394 |
320 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,086 |
852 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
50 |
$3K |
| 81000 |
|
1,120 |
921 |
$3K |
| 99454 |
|
368 |
271 |
$2K |
| 90756 |
|
511 |
481 |
$2K |
| 90688 |
|
213 |
185 |
$2K |
| 87807 |
|
173 |
142 |
$2K |
| 3008F |
|
1,744 |
1,342 |
$1K |
| 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) |
2,300 |
1,472 |
$953.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$671.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$647.76 |
| 36415 |
Collection of venous blood by venipuncture |
5,193 |
3,837 |
$623.39 |
| 99457 |
|
310 |
212 |
$591.74 |
| G0008 |
Administration of influenza virus vaccine |
469 |
444 |
$590.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
26 |
$385.36 |
| 3078F |
|
741 |
524 |
$236.00 |
| 84481 |
|
19 |
12 |
$193.52 |
| 0011A |
|
14 |
14 |
$154.73 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
150 |
35 |
$150.88 |
| 84436 |
|
19 |
12 |
$71.20 |
| 3075F |
|
44 |
38 |
$45.13 |
| 0064A |
|
57 |
57 |
$42.00 |
| 3074F |
|
668 |
481 |
$32.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
130 |
$29.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
194 |
143 |
$20.04 |
| 91301 |
|
19 |
18 |
$0.04 |
| 3079F |
|
46 |
38 |
$0.02 |
| 91306 |
|
57 |
57 |
$0.00 |
| 3044F |
|
57 |
40 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90661 |
|
20 |
20 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |