| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,961 |
6,437 |
$493K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,688 |
5,113 |
$305K |
| 99233 |
Prolong inpt eval add15 m |
3,569 |
923 |
$208K |
| 99223 |
Prolong inpt eval add15 m |
974 |
940 |
$100K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,365 |
278 |
$36K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
574 |
550 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
278 |
278 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
288 |
176 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,789 |
3,503 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
240 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
283 |
272 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,291 |
1,282 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
145 |
$7K |
| 99220 |
|
85 |
82 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,370 |
1,344 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,141 |
1,050 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
89 |
88 |
$7K |
| 90756 |
|
271 |
270 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
670 |
654 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
105 |
79 |
$6K |
| 90682 |
|
96 |
96 |
$6K |
| 99401 |
|
247 |
236 |
$5K |
| 99234 |
|
76 |
76 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$4K |
| 99217 |
|
103 |
100 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
141 |
$2K |
| 80053 |
Comprehensive metabolic panel |
272 |
267 |
$2K |
| 96127 |
|
671 |
662 |
$2K |
| 99219 |
|
19 |
18 |
$1K |
| 99000 |
|
502 |
468 |
$1K |
| 90673 |
|
18 |
18 |
$1K |
| 80061 |
Lipid panel |
129 |
127 |
$1K |
| 82947 |
|
403 |
395 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
117 |
117 |
$914.70 |
| 90686 |
|
33 |
33 |
$607.98 |
| 0001A |
|
15 |
15 |
$575.33 |
| 0002A |
|
16 |
15 |
$541.27 |
| 0124A |
|
18 |
18 |
$482.62 |
| 0003A |
|
13 |
13 |
$465.57 |
| 81003 |
|
187 |
174 |
$302.45 |
| 99406 |
|
42 |
42 |
$278.56 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$162.44 |
| 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) |
37 |
36 |
$115.30 |
| 87807 |
|
13 |
13 |
$111.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
107 |
102 |
$104.78 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
408 |
405 |
$15.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
268 |
263 |
$10.64 |
| 3074F |
|
9,032 |
7,863 |
$1.54 |
| 1125F |
|
4,014 |
3,529 |
$1.48 |
| 1126F |
|
3,136 |
2,887 |
$1.42 |
| 3078F |
|
8,172 |
7,160 |
$1.37 |
| 3008F |
|
8,115 |
6,907 |
$1.12 |
| 3079F |
|
3,313 |
3,121 |
$0.75 |
| 3075F |
|
1,936 |
1,856 |
$0.45 |
| 3077F |
|
1,205 |
1,105 |
$0.31 |
| 3080F |
|
502 |
476 |
$0.13 |
| 4013F |
|
217 |
208 |
$0.11 |
| 1160F |
|
4,574 |
3,864 |
$0.05 |
| 4010F |
|
896 |
728 |
$0.01 |
| 3351F |
|
26 |
25 |
$0.01 |
| 4008F |
|
130 |
126 |
$0.00 |
| 3044F |
|
119 |
118 |
$0.00 |
| 4086F |
|
234 |
157 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3048F |
|
13 |
13 |
$0.00 |
| 3066F |
|
35 |
17 |
$0.00 |
| 80050 |
General health panel |
13 |
13 |
$0.00 |
| 3725F |
|
949 |
927 |
$0.00 |
| 1159F |
|
1,277 |
1,142 |
$0.00 |
| 91312 |
|
19 |
19 |
$0.00 |
| 99072 |
|
18 |
15 |
$0.00 |