| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,055 |
24,555 |
$135K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,094 |
531 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,937 |
20,390 |
$39K |
| 80053 |
Comprehensive metabolic panel |
4,538 |
4,295 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
273 |
265 |
$13K |
| 87428 |
|
109 |
109 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,019 |
2,964 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
134 |
$7K |
| 80061 |
Lipid panel |
1,093 |
1,057 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,816 |
1,725 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
815 |
796 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
448 |
438 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,959 |
1,871 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,622 |
3,615 |
$2K |
| 84439 |
|
170 |
169 |
$1K |
| 85027 |
|
244 |
242 |
$1K |
| 99215 |
Prolong outpt/office vis |
147 |
135 |
$481.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$455.39 |
| 36415 |
Collection of venous blood by venipuncture |
11,969 |
10,875 |
$415.79 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,370 |
8,327 |
$376.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$375.53 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
86 |
86 |
$342.03 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,017 |
2,013 |
$332.13 |
| 90670 |
|
1,270 |
1,266 |
$329.40 |
| 85007 |
|
123 |
121 |
$324.48 |
| 90698 |
|
1,163 |
1,161 |
$307.44 |
| 90686 |
|
1,413 |
1,399 |
$277.24 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
597 |
586 |
$267.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$203.60 |
| 99441 |
|
357 |
331 |
$154.26 |
| 82728 |
|
13 |
13 |
$126.13 |
| 90680 |
|
475 |
475 |
$109.80 |
| 96127 |
|
1,480 |
1,462 |
$104.80 |
| 73630 |
|
17 |
13 |
$99.47 |
| 83550 |
|
14 |
14 |
$83.82 |
| 90685 |
|
255 |
253 |
$65.88 |
| 96160 |
|
1,159 |
1,142 |
$62.38 |
| 83540 |
|
14 |
14 |
$62.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
505 |
496 |
$55.10 |
| 81001 |
|
68 |
60 |
$34.20 |
| 99173 |
|
1,678 |
1,673 |
$32.34 |
| 90696 |
|
26 |
26 |
$21.96 |
| 90744 |
|
151 |
151 |
$21.96 |
| 90633 |
|
227 |
227 |
$21.96 |
| 90648 |
|
26 |
26 |
$21.96 |
| 90710 |
|
28 |
28 |
$21.96 |
| 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) |
460 |
436 |
$14.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$12.61 |
| 81002 |
|
89 |
88 |
$12.20 |
| 99177 |
|
2,340 |
2,322 |
$11.16 |
| 99442 |
|
88 |
81 |
$5.00 |
| 90688 |
|
43 |
41 |
$0.94 |
| 92587 |
|
42 |
41 |
$0.00 |
| 90656 |
|
45 |
45 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 36416 |
|
138 |
136 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |
| 90677 |
|
81 |
81 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90672 |
|
185 |
185 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |