| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,090 |
4,808 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,432 |
$28K |
| 76872 |
|
911 |
872 |
$21K |
| 76775 |
|
903 |
864 |
$17K |
| 64566 |
|
1,293 |
669 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
950 |
949 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
385 |
383 |
$11K |
| 76857 |
|
709 |
678 |
$11K |
| 52000 |
|
220 |
209 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$6K |
| 76770 |
|
1,030 |
1,030 |
$5K |
| 76870 |
|
271 |
264 |
$4K |
| 51798 |
|
1,839 |
1,777 |
$4K |
| 51741 |
|
929 |
895 |
$3K |
| 99490 |
Ccm add 20min |
225 |
223 |
$3K |
| 51729 |
|
13 |
13 |
$2K |
| 99442 |
|
157 |
156 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
246 |
$1K |
| 51784 |
|
56 |
56 |
$913.15 |
| 93976 |
|
13 |
13 |
$294.20 |
| 81003 |
|
3,053 |
2,804 |
$284.39 |
| 81002 |
|
1,127 |
1,026 |
$254.39 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
60 |
56 |
$61.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
184 |
180 |
$58.45 |
| 87084 |
|
317 |
303 |
$43.32 |
| 36415 |
Collection of venous blood by venipuncture |
724 |
702 |
$39.53 |
| 84403 |
|
184 |
183 |
$24.52 |
| 80053 |
Comprehensive metabolic panel |
288 |
281 |
$10.03 |
| 82570 |
|
285 |
285 |
$9.20 |
| 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) |
211 |
208 |
$0.00 |
| 84153 |
|
144 |
144 |
$0.00 |
| 84154 |
|
26 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |