| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,607 |
11,840 |
$646K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,985 |
6,402 |
$262K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
763 |
741 |
$71K |
| 80050 |
General health panel |
805 |
798 |
$26K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
805 |
786 |
$17K |
| 80061 |
Lipid panel |
1,616 |
1,550 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
150 |
$15K |
| 99442 |
|
237 |
235 |
$13K |
| 84439 |
|
1,733 |
1,679 |
$12K |
| 99490 |
Ccm add 20min |
2,098 |
1,901 |
$11K |
| 82607 |
|
827 |
806 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,483 |
3,148 |
$9K |
| 82746 |
|
738 |
716 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,137 |
1,100 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
968 |
905 |
$7K |
| 80053 |
Comprehensive metabolic panel |
970 |
928 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
195 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
164 |
116 |
$5K |
| 99205 |
Prolong outpt/office vis |
34 |
31 |
$4K |
| 90674 |
|
195 |
189 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
328 |
256 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
248 |
144 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
120 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
951 |
881 |
$3K |
| 84153 |
|
188 |
183 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
29 |
$2K |
| 90661 |
|
75 |
75 |
$2K |
| 99443 |
|
17 |
17 |
$1K |
| 99497 |
|
63 |
55 |
$1K |
| 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) |
432 |
407 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
210 |
206 |
$919.99 |
| 90688 |
|
56 |
56 |
$733.86 |
| 81003 |
|
404 |
387 |
$694.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
47 |
$662.22 |
| 90658 |
|
70 |
70 |
$657.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$582.34 |
| 90686 |
|
71 |
42 |
$571.95 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
12 |
$542.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$391.52 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
42 |
42 |
$219.64 |
| 82274 |
|
12 |
12 |
$158.50 |
| 82043 |
|
12 |
12 |
$37.13 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
12 |
$7.92 |
| 1159F |
|
82 |
70 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20 |
20 |
$0.00 |
| 1160F |
|
82 |
70 |
$0.00 |
| 3078F |
|
337 |
327 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
14 |
13 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
13 |
13 |
$0.00 |
| 3079F |
|
216 |
209 |
$0.00 |
| 1126F |
|
63 |
56 |
$0.00 |
| 3075F |
|
216 |
207 |
$0.00 |
| 3074F |
|
292 |
284 |
$0.00 |
| 1101F |
|
22 |
22 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
41 |
$0.00 |
| 3044F |
|
38 |
38 |
$0.00 |
| 1036F |
|
16 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
13 |
$0.00 |