| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,179 |
1,100 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
356 |
355 |
$16K |
| 99457 |
|
601 |
598 |
$4K |
| 99349 |
|
181 |
181 |
$4K |
| 99458 |
|
379 |
377 |
$3K |
| 99454 |
|
233 |
233 |
$3K |
| 99335 |
|
38 |
32 |
$2K |
| 99325 |
|
38 |
38 |
$2K |
| 76770 |
|
73 |
73 |
$1K |
| 76857 |
|
66 |
66 |
$871.27 |
| 51728 |
|
42 |
42 |
$702.57 |
| 99326 |
|
30 |
30 |
$696.78 |
| 83970 |
|
70 |
70 |
$573.74 |
| 51784 |
|
41 |
41 |
$533.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
190 |
188 |
$349.25 |
| 51797 |
|
42 |
42 |
$312.14 |
| 82785 |
|
72 |
72 |
$215.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
94 |
$203.84 |
| 82607 |
|
163 |
161 |
$203.47 |
| 82746 |
|
87 |
85 |
$198.35 |
| 84480 |
|
98 |
98 |
$192.06 |
| 82728 |
|
85 |
83 |
$183.97 |
| 80061 |
Lipid panel |
178 |
176 |
$180.68 |
| 86141 |
|
178 |
176 |
$174.76 |
| 84681 |
|
69 |
69 |
$166.74 |
| 51741 |
|
35 |
35 |
$148.13 |
| 99336 |
|
14 |
14 |
$143.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
92 |
92 |
$133.34 |
| 80053 |
Comprehensive metabolic panel |
172 |
170 |
$127.71 |
| 84439 |
|
98 |
98 |
$122.02 |
| 83550 |
|
88 |
86 |
$117.95 |
| 82977 |
|
170 |
168 |
$97.27 |
| 83721 |
|
29 |
29 |
$90.80 |
| 83735 |
|
182 |
180 |
$90.41 |
| 83540 |
|
96 |
94 |
$87.27 |
| 83525 |
|
69 |
69 |
$83.12 |
| 83615 |
|
169 |
167 |
$81.58 |
| 84100 |
|
180 |
178 |
$63.91 |
| 84550 |
|
174 |
172 |
$61.04 |
| 86376 |
|
12 |
12 |
$56.69 |
| 86431 |
|
39 |
39 |
$49.57 |
| 51798 |
|
74 |
74 |
$28.95 |
| 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) |
86 |
84 |
$14.59 |
| 82248 |
|
57 |
57 |
$9.28 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
12 |
$0.00 |
| 52000 |
|
12 |
12 |
$0.00 |