| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,381 |
7,133 |
$383K |
| 99233 |
Prolong inpt eval add15 m |
2,759 |
1,032 |
$137K |
| 99223 |
Prolong inpt eval add15 m |
874 |
722 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,243 |
2,003 |
$53K |
| 99215 |
Prolong outpt/office vis |
392 |
306 |
$20K |
| 93923 |
|
189 |
86 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
441 |
358 |
$13K |
| 99490 |
Ccm add 20min |
1,306 |
1,293 |
$10K |
| 95923 |
|
95 |
86 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
222 |
117 |
$7K |
| 94760 |
|
984 |
814 |
$7K |
| 95921 |
|
95 |
86 |
$3K |
| 93000 |
|
287 |
228 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
85 |
78 |
$1K |
| 99454 |
|
61 |
61 |
$746.70 |
| 80306 |
|
82 |
73 |
$700.88 |
| 93922 |
|
19 |
16 |
$547.49 |
| 99415 |
Prolong outpt/office vis |
123 |
80 |
$432.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
78 |
$416.10 |
| 81003 |
|
596 |
467 |
$375.63 |
| 99457 |
|
112 |
112 |
$363.00 |
| 80061 |
Lipid panel |
85 |
63 |
$293.81 |
| 90688 |
|
26 |
23 |
$258.40 |
| 80305 |
|
40 |
34 |
$239.36 |
| 90756 |
|
17 |
17 |
$227.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$227.01 |
| 99406 |
|
190 |
136 |
$221.97 |
| 90658 |
|
28 |
26 |
$217.08 |
| 99443 |
|
90 |
86 |
$191.96 |
| 99487 |
Ccm add 20min |
15 |
15 |
$187.11 |
| 99496 |
|
13 |
12 |
$153.21 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
23 |
$119.90 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
117 |
90 |
$116.78 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
119 |
101 |
$81.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
24 |
$77.70 |
| 80053 |
Comprehensive metabolic panel |
43 |
33 |
$75.50 |
| 51798 |
|
14 |
14 |
$52.72 |
| 3078F |
|
278 |
265 |
$30.01 |
| 3074F |
|
355 |
324 |
$23.68 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
34 |
$21.00 |
| 3077F |
|
677 |
630 |
$20.00 |
| 3080F |
|
646 |
588 |
$20.00 |
| 99497 |
|
139 |
122 |
$15.80 |
| 3079F |
|
214 |
205 |
$10.00 |
| 3075F |
|
57 |
56 |
$10.00 |
| 3008F |
|
1,318 |
1,187 |
$0.01 |
| 1158F |
|
27 |
15 |
$0.00 |
| 80300 |
|
13 |
13 |
$0.00 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
78 |
66 |
$0.00 |
| 1124F |
|
28 |
16 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
60 |
$0.00 |
| 1160F |
|
27 |
15 |
$0.00 |
| 96160 |
|
59 |
38 |
$0.00 |
| 1159F |
|
27 |
15 |
$0.00 |
| 4013F |
|
13 |
13 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
27 |
25 |
$0.00 |
| 1125F |
|
126 |
109 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
77 |
48 |
$0.00 |
| 81000 |
|
27 |
18 |
$0.00 |
| 3066F |
|
23 |
23 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
21 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
50 |
$0.00 |
| 99407 |
|
22 |
15 |
$0.00 |
| 1034F |
|
15 |
15 |
$0.00 |
| 36416 |
|
17 |
17 |
$0.00 |
| 82607 |
|
20 |
16 |
$0.00 |