| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,746 |
11,563 |
$571K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,198 |
4,542 |
$157K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,681 |
1,426 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,044 |
1,978 |
$23K |
| 80053 |
Comprehensive metabolic panel |
5,756 |
5,334 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,561 |
5,974 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,680 |
2,171 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
741 |
341 |
$10K |
| 80305 |
|
1,355 |
1,271 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
9,627 |
8,683 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
332 |
145 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
121 |
119 |
$6K |
| 99307 |
|
646 |
624 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
104 |
84 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
825 |
774 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
102 |
96 |
$3K |
| 80061 |
Lipid panel |
709 |
672 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
984 |
937 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
99 |
94 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
59 |
56 |
$2K |
| 84439 |
|
399 |
370 |
$814.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
13 |
$665.31 |
| 81003 |
|
813 |
714 |
$531.48 |
| 99490 |
Ccm add 20min |
12 |
12 |
$496.78 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
470 |
395 |
$477.13 |
| 95251 |
|
158 |
150 |
$392.82 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
59 |
49 |
$364.21 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$361.38 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$283.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
269 |
198 |
$145.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,190 |
978 |
$124.38 |
| 99441 |
|
17 |
12 |
$94.96 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
74 |
57 |
$87.80 |
| 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) |
30 |
25 |
$68.65 |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
25 |
$43.89 |
| G0008 |
Administration of influenza virus vaccine |
35 |
32 |
$41.54 |
| 80306 |
|
14 |
13 |
$32.32 |
| 82607 |
|
12 |
12 |
$24.42 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
13 |
$2.88 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
33 |
25 |
$2.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
19 |
12 |
$0.00 |
| 99497 |
|
38 |
38 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
13 |
12 |
$0.00 |