| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,334 |
2,762 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
405 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
471 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
134 |
111 |
$4K |
| 80053 |
Comprehensive metabolic panel |
970 |
905 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
57 |
$3K |
| 80061 |
Lipid panel |
618 |
595 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
167 |
65 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
176 |
126 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
88 |
72 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
191 |
89 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,777 |
1,540 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
782 |
694 |
$2K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
155 |
122 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
154 |
13 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
76 |
65 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
59 |
52 |
$1K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
46 |
46 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
119 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
400 |
390 |
$994.71 |
| 85027 |
|
365 |
340 |
$910.37 |
| 90688 |
|
100 |
97 |
$758.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$426.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
168 |
155 |
$390.85 |
| 99307 |
|
42 |
26 |
$373.20 |
| 82977 |
|
115 |
112 |
$335.26 |
| 98940 |
|
50 |
37 |
$273.66 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
54 |
45 |
$266.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
70 |
68 |
$263.76 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19 |
19 |
$260.49 |
| E0601 |
Continuous positive airway pressure (cpap) device |
23 |
23 |
$260.05 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
36 |
29 |
$252.15 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$227.28 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
21 |
14 |
$185.47 |
| 81001 |
|
141 |
134 |
$171.57 |
| 92134 |
|
13 |
13 |
$147.61 |
| 82550 |
|
47 |
46 |
$138.63 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
13 |
$131.15 |
| E1392 |
Portable oxygen concentrator, rental |
14 |
14 |
$111.41 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
17 |
17 |
$92.40 |
| Q3014 |
Telehealth originating site facility fee |
15 |
13 |
$82.64 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
22 |
22 |
$64.68 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
17 |
17 |
$58.74 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13 |
13 |
$39.57 |
| 84439 |
|
15 |
15 |
$32.01 |
| E0570 |
Nebulizer, with compressor |
14 |
14 |
$27.62 |
| 71045 |
Radiologic examination, chest; single view |
14 |
12 |
$20.25 |
| G0008 |
Administration of influenza virus vaccine |
71 |
70 |
$0.00 |