| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,290 |
2,849 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,449 |
1,287 |
$77K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
862 |
718 |
$35K |
| 99497 |
|
858 |
785 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
272 |
260 |
$23K |
| 99406 |
|
1,934 |
1,642 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
125 |
$10K |
| 80305 |
|
1,297 |
1,124 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,080 |
899 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
642 |
531 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
570 |
368 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
81 |
$6K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
181 |
133 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,936 |
1,616 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
392 |
373 |
$3K |
| 90715 |
|
116 |
99 |
$3K |
| 90688 |
|
164 |
159 |
$3K |
| 86703 |
|
224 |
217 |
$2K |
| 94060 |
|
68 |
63 |
$2K |
| 82947 |
|
1,022 |
876 |
$2K |
| 93000 |
|
209 |
202 |
$2K |
| 81003 |
|
1,558 |
1,273 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 90674 |
|
62 |
62 |
$1K |
| 80306 |
|
88 |
80 |
$1K |
| 82962 |
|
493 |
471 |
$1K |
| 81025 |
|
138 |
119 |
$858.03 |
| 93922 |
|
14 |
13 |
$659.77 |
| 90714 |
|
25 |
23 |
$519.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
17 |
$515.14 |
| 82274 |
|
27 |
27 |
$476.73 |
| 82570 |
|
220 |
175 |
$433.54 |
| 82043 |
|
177 |
170 |
$416.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
41 |
$379.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
17 |
$330.17 |
| 81002 |
|
240 |
225 |
$299.76 |
| 3078F |
|
1,362 |
1,097 |
$0.00 |
| 3077F |
|
298 |
232 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
64 |
40 |
$0.00 |
| 3075F |
|
992 |
818 |
$0.00 |
| 3074F |
|
2,356 |
1,820 |
$0.00 |
| 3079F |
|
2,115 |
1,637 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3080F |
|
237 |
174 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
72 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |