| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,021 |
19,426 |
$752K |
| 71046 |
Radiologic examination, chest; 2 views |
9,444 |
8,118 |
$167K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,113 |
2,787 |
$158K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,849 |
3,420 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,351 |
5,409 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,208 |
3,908 |
$108K |
| 99217 |
|
2,484 |
2,276 |
$99K |
| 99218 |
|
2,529 |
2,317 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,354 |
7,756 |
$90K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,452 |
2,038 |
$76K |
| 87428 |
|
3,385 |
3,115 |
$72K |
| 80050 |
General health panel |
1,688 |
1,622 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,248 |
2,007 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,399 |
2,151 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,442 |
7,617 |
$40K |
| 99224 |
|
1,498 |
1,369 |
$38K |
| 80061 |
Lipid panel |
4,824 |
4,546 |
$36K |
| 80053 |
Comprehensive metabolic panel |
5,215 |
4,822 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
662 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,090 |
1,859 |
$29K |
| 99221 |
|
725 |
621 |
$27K |
| 99307 |
|
2,617 |
2,556 |
$25K |
| 72100 |
|
776 |
714 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,734 |
1,599 |
$14K |
| 93000 |
|
1,020 |
954 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
721 |
639 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,812 |
1,713 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
194 |
184 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
51 |
$4K |
| 0011A |
|
129 |
124 |
$4K |
| 73560 |
|
191 |
149 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
208 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
254 |
239 |
$2K |
| 90756 |
|
133 |
132 |
$2K |
| 90734 |
|
16 |
16 |
$2K |
| 90633 |
|
75 |
75 |
$2K |
| 90674 |
|
123 |
121 |
$2K |
| 73630 |
|
98 |
88 |
$2K |
| 74018 |
|
103 |
99 |
$2K |
| 0012A |
|
64 |
63 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
24 |
$2K |
| 86580 |
|
278 |
266 |
$2K |
| 73130 |
|
79 |
72 |
$1K |
| 20610 |
|
31 |
25 |
$1K |
| 86308 |
|
163 |
156 |
$1K |
| 0013A |
|
41 |
40 |
$1K |
| 94010 |
|
68 |
61 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
171 |
168 |
$770.38 |
| 80076 |
|
198 |
184 |
$746.41 |
| 73030 |
|
43 |
40 |
$696.26 |
| 86328 |
|
39 |
37 |
$687.34 |
| 90686 |
|
45 |
45 |
$582.30 |
| 36600 |
|
45 |
42 |
$573.87 |
| 99251 |
|
17 |
15 |
$500.09 |
| 81000 |
|
633 |
588 |
$489.50 |
| 82565 |
|
192 |
176 |
$476.41 |
| 77080 |
|
25 |
25 |
$456.30 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
39 |
39 |
$391.50 |
| 84520 |
|
191 |
175 |
$363.69 |
| 73502 |
|
13 |
12 |
$338.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$253.14 |
| 73610 |
|
19 |
16 |
$239.69 |
| 86318 |
|
22 |
20 |
$209.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
143 |
120 |
$154.56 |
| 82044 |
|
14 |
12 |
$147.46 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
18 |
$119.02 |
| 87807 |
|
15 |
15 |
$107.42 |
| 84550 |
|
54 |
50 |
$84.97 |
| 84153 |
|
12 |
12 |
$77.21 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
18 |
16 |
$54.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
29 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
539 |
495 |
$29.85 |
| 3077F |
|
88 |
81 |
$0.28 |
| 3080F |
|
53 |
51 |
$0.13 |
| 3079F |
|
16 |
15 |
$0.09 |
| 3044F |
|
12 |
12 |
$0.05 |
| 3046F |
|
12 |
12 |
$0.02 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
107 |
103 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
43 |
$0.00 |
| 3288F |
|
164 |
150 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
83 |
77 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
53 |
50 |
$0.00 |
| J0290 |
Injection, ampicillin sodium, 500 mg |
35 |
34 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |