| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,245 |
63,677 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,141 |
13,250 |
$195K |
| 80324 |
|
1,454 |
1,206 |
$166K |
| 80346 |
|
2,252 |
1,848 |
$66K |
| 99215 |
Prolong outpt/office vis |
1,956 |
1,516 |
$66K |
| 99233 |
Prolong inpt eval add15 m |
2,070 |
880 |
$57K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,617 |
1,438 |
$44K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
194 |
178 |
$44K |
| 95117 |
|
5,247 |
2,397 |
$37K |
| 80348 |
|
3,442 |
2,861 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,669 |
475 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
211 |
164 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
446 |
337 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
220 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
287 |
215 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,890 |
2,133 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
237 |
136 |
$11K |
| 80365 |
|
3,053 |
2,558 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,586 |
618 |
$7K |
| 80349 |
|
2,038 |
1,673 |
$5K |
| 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) |
4,854 |
4,423 |
$5K |
| 80354 |
|
3,398 |
2,832 |
$5K |
| 80353 |
|
3,104 |
2,570 |
$5K |
| 80361 |
|
3,115 |
2,602 |
$5K |
| 80061 |
Lipid panel |
1,000 |
801 |
$4K |
| 0011A |
|
228 |
209 |
$3K |
| 80373 |
|
805 |
686 |
$3K |
| 80372 |
|
744 |
637 |
$3K |
| 80369 |
|
886 |
740 |
$3K |
| 80358 |
|
1,287 |
1,076 |
$3K |
| 94010 |
|
228 |
199 |
$2K |
| 80359 |
|
584 |
476 |
$2K |
| 80345 |
|
611 |
500 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
69 |
53 |
$1K |
| 80053 |
Comprehensive metabolic panel |
673 |
556 |
$1K |
| 94060 |
|
114 |
96 |
$1K |
| 83992 |
|
459 |
375 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
611 |
512 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
332 |
227 |
$932.94 |
| 20610 |
|
136 |
90 |
$890.07 |
| 80050 |
General health panel |
67 |
40 |
$889.58 |
| 99443 |
|
14 |
12 |
$749.25 |
| 0012A |
|
198 |
181 |
$719.74 |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
142 |
$715.70 |
| 0064A |
|
81 |
68 |
$584.00 |
| 71250 |
|
30 |
28 |
$564.74 |
| 99243 |
|
15 |
15 |
$503.91 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
12 |
$500.04 |
| 94729 |
|
81 |
63 |
$391.08 |
| 81003 |
|
600 |
468 |
$302.53 |
| 0134A |
|
23 |
21 |
$294.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
172 |
137 |
$286.10 |
| 99307 |
|
96 |
50 |
$181.56 |
| 88342 |
|
37 |
12 |
$145.78 |
| 83001 |
|
26 |
12 |
$114.84 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
71 |
54 |
$110.30 |
| 90686 |
|
81 |
59 |
$99.76 |
| 80305 |
|
16 |
14 |
$98.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
86 |
$69.11 |
| 99406 |
|
657 |
452 |
$42.55 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
24 |
15 |
$40.00 |
| 82043 |
|
31 |
24 |
$18.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
251 |
182 |
$18.23 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
64 |
52 |
$1.23 |
| 90791 |
Psychiatric diagnostic evaluation |
161 |
154 |
$0.00 |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
539 |
472 |
$0.00 |
| 88313 |
|
36 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
67 |
26 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$0.00 |
| 90662 |
|
62 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
86 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
13 |
$0.00 |
| 82607 |
|
18 |
12 |
$0.00 |
| 0094A |
|
22 |
12 |
$0.00 |