| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,798 |
7,627 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,489 |
4,539 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
904 |
846 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
346 |
328 |
$25K |
| 99215 |
Prolong outpt/office vis |
170 |
135 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
789 |
746 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
601 |
514 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,331 |
1,151 |
$8K |
| 80053 |
Comprehensive metabolic panel |
977 |
839 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
692 |
584 |
$7K |
| 80061 |
Lipid panel |
670 |
573 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
358 |
326 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
249 |
208 |
$5K |
| 93000 |
|
369 |
313 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
70 |
$4K |
| 81003 |
|
2,180 |
1,948 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
65 |
$3K |
| 87081 |
|
563 |
533 |
$3K |
| 99220 |
|
58 |
54 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
80 |
66 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
206 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
102 |
94 |
$2K |
| 90658 |
|
255 |
231 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,911 |
1,451 |
$1K |
| 99490 |
Ccm add 20min |
891 |
523 |
$688.36 |
| 90715 |
|
27 |
25 |
$660.18 |
| 99217 |
|
25 |
24 |
$599.83 |
| 81025 |
|
89 |
86 |
$552.32 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
68 |
30 |
$516.19 |
| 86580 |
|
113 |
94 |
$509.81 |
| G0008 |
Administration of influenza virus vaccine |
254 |
168 |
$439.68 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
34 |
30 |
$426.61 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
27 |
$408.30 |
| 90756 |
|
34 |
27 |
$394.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
48 |
$358.56 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$167.13 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
18 |
14 |
$140.62 |
| 90662 |
|
55 |
31 |
$104.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$99.80 |
| 82948 |
|
49 |
42 |
$81.24 |
| 92551 |
|
16 |
15 |
$57.12 |
| 90653 |
|
131 |
85 |
$54.64 |
| 81002 |
|
27 |
26 |
$45.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$26.51 |
| 99173 |
|
15 |
14 |
$22.68 |
| 85610 |
|
22 |
13 |
$22.06 |