| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,648 |
3,753 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,617 |
2,915 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,011 |
1,523 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,279 |
2,611 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
346 |
280 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
763 |
617 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
693 |
289 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
564 |
$7K |
| 87428 |
|
119 |
105 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
132 |
91 |
$3K |
| 90688 |
|
308 |
247 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
173 |
136 |
$2K |
| 99490 |
Ccm add 20min |
308 |
296 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
752 |
595 |
$1K |
| 92567 |
|
106 |
74 |
$1K |
| 81003 |
|
704 |
533 |
$988.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
77 |
$694.99 |
| 99173 |
|
104 |
72 |
$634.41 |
| 3074F |
|
55 |
36 |
$480.00 |
| 3078F |
|
44 |
26 |
$390.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
178 |
135 |
$358.64 |
| 99307 |
|
25 |
24 |
$328.09 |
| 51798 |
|
99 |
68 |
$304.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
124 |
87 |
$248.26 |
| 3008F |
|
27 |
21 |
$240.00 |
| 99497 |
|
217 |
157 |
$231.32 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
212 |
154 |
$101.91 |
| 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) |
68 |
43 |
$27.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
30 |
$25.00 |
| 80061 |
Lipid panel |
111 |
107 |
$5.85 |
| G0008 |
Administration of influenza virus vaccine |
86 |
79 |
$3.13 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
163 |
142 |
$0.00 |
| 99072 |
|
42 |
36 |
$0.00 |
| 82570 |
|
29 |
24 |
$0.00 |
| 96160 |
|
21 |
15 |
$0.00 |
| 82043 |
|
41 |
36 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
163 |
142 |
$0.00 |