| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,001 |
19,075 |
$704K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,899 |
18,517 |
$628K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,983 |
1,913 |
$90K |
| 99493 |
|
733 |
703 |
$63K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,619 |
960 |
$62K |
| 87428 |
|
2,243 |
2,103 |
$49K |
| 3074F |
|
24,911 |
21,722 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
864 |
841 |
$28K |
| 99051 |
|
3,033 |
2,804 |
$21K |
| 3078F |
|
19,024 |
16,757 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,179 |
2,043 |
$19K |
| 80305 |
|
871 |
800 |
$12K |
| 99494 |
|
275 |
267 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,039 |
402 |
$9K |
| 99492 |
|
92 |
88 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,066 |
1,034 |
$8K |
| 17110 |
|
181 |
161 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
318 |
293 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
364 |
303 |
$7K |
| 3079F |
|
9,004 |
8,149 |
$5K |
| 97014 |
|
702 |
249 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,154 |
986 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
536 |
502 |
$3K |
| 91320 |
|
108 |
103 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
275 |
264 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
372 |
360 |
$2K |
| 81003 |
|
1,366 |
1,247 |
$2K |
| 81025 |
|
377 |
368 |
$2K |
| 90688 |
|
423 |
411 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
143 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$2K |
| 90673 |
|
95 |
94 |
$1K |
| 96127 |
|
2,464 |
2,360 |
$1K |
| 99335 |
|
103 |
90 |
$1K |
| 99495 |
|
27 |
25 |
$1K |
| 99348 |
|
48 |
48 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
154 |
$943.99 |
| 90480 |
|
112 |
107 |
$873.20 |
| 3075F |
|
3,738 |
3,481 |
$820.30 |
| 71046 |
Radiologic examination, chest; 2 views |
243 |
226 |
$807.48 |
| 99334 |
|
57 |
45 |
$806.06 |
| 99215 |
Prolong outpt/office vis |
59 |
57 |
$778.28 |
| 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) |
1,130 |
1,041 |
$744.39 |
| 80050 |
General health panel |
122 |
114 |
$700.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
889 |
848 |
$696.78 |
| 0001A |
|
32 |
31 |
$680.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$571.13 |
| 97010 |
|
507 |
185 |
$569.45 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$553.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
270 |
$486.97 |
| 0002A |
|
28 |
24 |
$480.00 |
| 91300 |
|
77 |
57 |
$320.04 |
| 91307 |
|
15 |
12 |
$320.00 |
| 3077F |
|
2,238 |
2,005 |
$314.29 |
| 80061 |
Lipid panel |
141 |
125 |
$295.28 |
| 91301 |
|
15 |
13 |
$280.00 |
| 90658 |
|
51 |
51 |
$274.32 |
| 1160F |
|
460 |
434 |
$257.95 |
| 1036F |
|
593 |
547 |
$239.39 |
| 36415 |
Collection of venous blood by venipuncture |
416 |
370 |
$222.89 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
74 |
73 |
$212.43 |
| 99385 |
|
24 |
24 |
$194.01 |
| 80053 |
Comprehensive metabolic panel |
180 |
162 |
$175.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
111 |
100 |
$164.13 |
| 3080F |
|
2,058 |
1,855 |
$153.03 |
| 90715 |
|
43 |
43 |
$151.40 |
| 87420 |
|
13 |
13 |
$147.24 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
14 |
$120.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
147 |
130 |
$102.50 |
| 73110 |
|
15 |
13 |
$97.25 |
| 1159F |
|
574 |
543 |
$94.89 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14 |
12 |
$92.92 |
| 73630 |
|
29 |
28 |
$90.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
223 |
201 |
$57.08 |
| 84439 |
|
49 |
45 |
$41.85 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
74 |
73 |
$39.02 |
| 84443 |
Thyroid stimulating hormone (TSH) |
18 |
17 |
$22.91 |
| G0008 |
Administration of influenza virus vaccine |
121 |
115 |
$17.60 |
| 3008F |
|
519 |
488 |
$12.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$7.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
272 |
261 |
$2.24 |
| 1170F |
|
524 |
493 |
$0.02 |
| 1090F |
|
401 |
383 |
$0.02 |
| 1101F |
|
403 |
380 |
$0.01 |
| 1126F |
|
205 |
197 |
$0.01 |
| 3288F |
|
509 |
481 |
$0.01 |
| 1111F |
|
126 |
111 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
32 |
26 |
$0.00 |
| 1125F |
|
59 |
58 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90662 |
|
27 |
24 |
$0.00 |
| 3051F |
|
524 |
516 |
$0.00 |
| 4274F |
|
62 |
61 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
31 |
26 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| 1100F |
|
14 |
14 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |