| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,436 |
24,017 |
$2.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,443 |
31,707 |
$2.27M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,217 |
1,213 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,895 |
5,824 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,042 |
1,041 |
$112K |
| 80050 |
General health panel |
2,020 |
2,008 |
$101K |
| 90461 |
|
1,806 |
1,802 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
570 |
$62K |
| 99215 |
Prolong outpt/office vis |
310 |
290 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
11,823 |
11,246 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
452 |
450 |
$48K |
| 80061 |
Lipid panel |
3,400 |
3,361 |
$46K |
| 80053 |
Comprehensive metabolic panel |
3,281 |
3,212 |
$46K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,394 |
2,352 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,115 |
1,304 |
$35K |
| 90686 |
|
3,126 |
3,113 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
202 |
198 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,620 |
2,575 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,042 |
1,029 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,806 |
1,787 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
145 |
144 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
496 |
491 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
437 |
436 |
$9K |
| S9999 |
Sales tax |
1,533 |
1,330 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
255 |
251 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
246 |
$7K |
| 80305 |
|
462 |
453 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
190 |
$3K |
| 87807 |
|
217 |
214 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 81003 |
|
1,301 |
1,285 |
$2K |
| 82607 |
|
161 |
161 |
$2K |
| 84439 |
|
193 |
191 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$1K |
| 81001 |
|
296 |
292 |
$1K |
| 87210 |
|
154 |
152 |
$820.38 |
| 81025 |
|
83 |
81 |
$671.59 |
| 0071A |
|
16 |
16 |
$640.00 |
| 83540 |
|
114 |
113 |
$630.06 |
| 82728 |
|
51 |
51 |
$617.40 |
| 99421 |
|
14 |
14 |
$509.60 |
| 90715 |
|
12 |
12 |
$114.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
18 |
$83.93 |
| 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) |
12 |
12 |
$54.35 |
| 99072 |
|
659 |
619 |
$35.86 |
| 90687 |
|
14 |
14 |
$10.06 |
| 90710 |
|
37 |
37 |
$0.00 |
| 90670 |
|
266 |
265 |
$0.00 |
| 90633 |
|
46 |
46 |
$0.00 |
| 91300 |
|
84 |
74 |
$0.00 |
| 90698 |
|
41 |
41 |
$0.00 |
| 91307 |
|
72 |
63 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90651 |
|
39 |
39 |
$0.00 |