| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,665 |
8,756 |
$726K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,811 |
6,182 |
$366K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,488 |
1,051 |
$131K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
994 |
983 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
907 |
879 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
712 |
705 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
453 |
437 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,422 |
5,213 |
$35K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
588 |
560 |
$33K |
| 80053 |
Comprehensive metabolic panel |
3,569 |
3,477 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,086 |
1,082 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
270 |
147 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
5,237 |
4,947 |
$12K |
| 85651 |
|
3,420 |
3,319 |
$12K |
| 93000 |
|
1,270 |
1,258 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,371 |
1,183 |
$11K |
| 99406 |
|
1,300 |
1,205 |
$10K |
| 90688 |
|
582 |
579 |
$9K |
| 86769 |
|
339 |
337 |
$8K |
| 81000 |
|
2,299 |
2,240 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
101 |
100 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
128 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
739 |
739 |
$6K |
| 84439 |
|
782 |
780 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
705 |
699 |
$6K |
| 99000 |
|
1,404 |
1,328 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
115 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
166 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
102 |
99 |
$4K |
| 81002 |
|
1,387 |
1,332 |
$3K |
| 96127 |
|
778 |
709 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
44 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 90686 |
|
88 |
88 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
53 |
$1K |
| 83735 |
|
228 |
226 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
42 |
$825.70 |
| 99441 |
|
26 |
25 |
$774.25 |
| 82043 |
|
112 |
111 |
$538.98 |
| 80061 |
Lipid panel |
53 |
53 |
$517.60 |
| 82570 |
|
112 |
111 |
$483.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$397.46 |
| 92551 |
|
50 |
49 |
$356.61 |
| 94060 |
|
12 |
12 |
$349.45 |
| 99442 |
|
21 |
17 |
$278.88 |
| 96160 |
|
155 |
139 |
$257.39 |
| 80305 |
|
24 |
24 |
$210.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
16 |
$156.88 |
| 99051 |
|
906 |
866 |
$114.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
27 |
24 |
$42.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
24 |
$37.74 |
| G0008 |
Administration of influenza virus vaccine |
47 |
45 |
$21.56 |
| 99001 |
|
12 |
12 |
$9.00 |
| 1159F |
|
2,564 |
2,254 |
$1.06 |
| 1160F |
|
2,015 |
1,785 |
$1.06 |
| 3008F |
|
2,268 |
2,109 |
$0.07 |
| 3079F |
|
3,197 |
2,974 |
$0.06 |
| 3074F |
|
6,479 |
5,727 |
$0.04 |
| 3078F |
|
5,527 |
4,924 |
$0.03 |
| 1034F |
|
391 |
352 |
$0.03 |
| 3077F |
|
1,346 |
1,250 |
$0.02 |
| 3075F |
|
1,846 |
1,750 |
$0.02 |
| 99173 |
|
36 |
36 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,223 |
1,105 |
$0.00 |
| 4004F |
|
196 |
182 |
$0.00 |
| 3288F |
|
45 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,175 |
5,247 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
158 |
144 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
54 |
53 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
172 |
158 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
31 |
30 |
$0.00 |
| 3725F |
|
641 |
591 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
12 |
$0.00 |
| 1003F |
|
114 |
98 |
$0.00 |
| 1033F |
|
50 |
43 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
26 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,008 |
1,738 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,315 |
1,191 |
$0.00 |
| 1036F |
|
3,833 |
3,351 |
$0.00 |
| 3080F |
|
893 |
835 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,089 |
3,689 |
$0.00 |
| 1000F |
|
669 |
627 |
$0.00 |
| 3044F |
|
69 |
67 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
62 |
54 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 1125F |
|
39 |
37 |
$0.00 |
| 1126F |
|
32 |
32 |
$0.00 |
| 1111F |
|
67 |
62 |
$0.00 |