| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,534 |
16,275 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,038 |
2,659 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,191 |
1,130 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
900 |
816 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
755 |
674 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,529 |
1,325 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
212 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
990 |
870 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,291 |
2,834 |
$21K |
| 92551 |
|
2,990 |
2,714 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,503 |
2,192 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,330 |
3,105 |
$21K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
985 |
901 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
298 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,142 |
1,037 |
$18K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,957 |
1,666 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
954 |
716 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
79 |
71 |
$12K |
| 80061 |
Lipid panel |
1,119 |
1,029 |
$11K |
| 99173 |
|
2,930 |
2,636 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,169 |
1,068 |
$10K |
| 82962 |
|
5,854 |
4,947 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,256 |
1,146 |
$9K |
| 94060 |
|
284 |
239 |
$7K |
| 90670 |
|
375 |
332 |
$6K |
| 83525 |
|
853 |
793 |
$6K |
| 90656 |
|
299 |
282 |
$5K |
| 81000 |
|
1,808 |
1,568 |
$5K |
| 90648 |
|
282 |
251 |
$5K |
| 99215 |
Prolong outpt/office vis |
82 |
75 |
$4K |
| 90686 |
|
410 |
395 |
$4K |
| 81003 |
|
1,836 |
1,582 |
$4K |
| 90723 |
|
222 |
186 |
$4K |
| 90633 |
|
188 |
173 |
$3K |
| 87430 |
|
246 |
236 |
$3K |
| 90680 |
|
170 |
145 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,986 |
1,718 |
$3K |
| 94010 |
|
148 |
143 |
$3K |
| 90732 |
|
51 |
51 |
$2K |
| 90716 |
|
119 |
110 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$2K |
| 90649 |
|
110 |
99 |
$2K |
| 90707 |
|
93 |
89 |
$2K |
| 90734 |
|
96 |
84 |
$1K |
| 99490 |
Ccm add 20min |
261 |
260 |
$1K |
| 86403 |
|
139 |
128 |
$1K |
| 90685 |
|
77 |
63 |
$1K |
| 90655 |
|
63 |
58 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
18 |
$791.10 |
| 82607 |
|
50 |
47 |
$663.00 |
| 82728 |
|
65 |
61 |
$624.00 |
| 82746 |
|
64 |
60 |
$611.00 |
| 93000 |
|
84 |
81 |
$553.48 |
| 0012A |
|
22 |
22 |
$425.85 |
| 0013A |
|
17 |
17 |
$360.00 |
| 99457 |
|
71 |
70 |
$358.40 |
| 99454 |
|
70 |
70 |
$328.00 |
| 99497 |
|
23 |
22 |
$303.63 |
| 90700 |
|
15 |
15 |
$296.85 |
| 94729 |
|
12 |
12 |
$295.79 |
| 0011A |
|
21 |
21 |
$254.10 |
| 90715 |
|
15 |
14 |
$237.48 |
| 94727 |
|
12 |
12 |
$212.33 |
| 90756 |
|
14 |
13 |
$159.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$148.99 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
16 |
15 |
$102.60 |
| 81025 |
|
42 |
36 |
$101.20 |
| 85018 |
|
51 |
37 |
$42.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
56 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
82 |
80 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
411 |
393 |
$0.00 |
| 91301 |
|
119 |
118 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
64 |
64 |
$0.00 |
| 3079F |
|
20 |
18 |
$0.00 |
| 3074F |
|
35 |
34 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
37 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
219 |
204 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
64 |
62 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
25 |
25 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 3078F |
|
37 |
37 |
$0.00 |