| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,925 |
10,787 |
$533K |
| 80053 |
Comprehensive metabolic panel |
3,985 |
3,853 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
601 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,374 |
4,190 |
$22K |
| 80061 |
Lipid panel |
2,694 |
2,630 |
$18K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
435 |
424 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,322 |
2,042 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
322 |
180 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
656 |
618 |
$4K |
| 90674 |
|
356 |
338 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
739 |
729 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
230 |
218 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
531 |
478 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
71 |
24 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
151 |
147 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
192 |
189 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
978 |
911 |
$1K |
| 82607 |
|
180 |
177 |
$816.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$799.44 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$579.48 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$566.93 |
| 99457 |
|
42 |
41 |
$493.38 |
| 85004 |
|
217 |
204 |
$335.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
102 |
$315.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
14 |
$240.00 |
| 81001 |
|
189 |
185 |
$224.00 |
| 90661 |
|
13 |
12 |
$210.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
75 |
74 |
$197.67 |
| 84439 |
|
69 |
69 |
$180.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
176 |
167 |
$152.93 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
101 |
98 |
$99.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
48 |
43 |
$70.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
759 |
698 |
$59.86 |
| 99453 |
|
12 |
12 |
$46.50 |
| 36415 |
Collection of venous blood by venipuncture |
568 |
560 |
$2.00 |
| 3074F |
|
3,103 |
2,789 |
$0.00 |
| 3079F |
|
1,094 |
1,002 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
205 |
188 |
$0.00 |
| 3075F |
|
162 |
158 |
$0.00 |
| 3044F |
|
126 |
125 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
119 |
118 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 3008F |
|
14 |
12 |
$0.00 |
| 1160F |
|
3,925 |
3,577 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
719 |
673 |
$0.00 |
| 3078F |
|
2,723 |
2,471 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
738 |
665 |
$0.00 |
| 1159F |
|
136 |
131 |
$0.00 |
| 3077F |
|
56 |
52 |
$0.00 |
| 99487 |
Ccm add 20min |
31 |
16 |
$0.00 |
| 99080 |
|
18 |
18 |
$0.00 |