| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,470 |
4,196 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,825 |
3,192 |
$59K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,928 |
580 |
$42K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
331 |
310 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,832 |
2,408 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,811 |
1,668 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
157 |
153 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,069 |
3,332 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
684 |
671 |
$9K |
| 97161 |
|
212 |
209 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
858 |
717 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
508 |
438 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
307 |
114 |
$5K |
| 80061 |
Lipid panel |
534 |
531 |
$4K |
| 81001 |
|
1,085 |
999 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
508 |
479 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
463 |
460 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
59 |
$1K |
| 80306 |
|
100 |
96 |
$1K |
| 86140 |
|
268 |
248 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
98 |
95 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
87 |
$811.16 |
| 87430 |
|
28 |
28 |
$408.51 |
| Q3014 |
Telehealth originating site facility fee |
14 |
13 |
$280.00 |
| 85610 |
|
72 |
60 |
$258.87 |
| 80164 |
|
71 |
71 |
$255.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
39 |
$213.70 |
| 80076 |
|
68 |
67 |
$172.52 |
| 99490 |
Ccm add 20min |
266 |
133 |
$162.49 |
| 82607 |
|
19 |
19 |
$136.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
101 |
81 |
$136.94 |
| 87186 |
|
25 |
25 |
$134.40 |
| 90686 |
|
87 |
87 |
$107.08 |
| 71045 |
Radiologic examination, chest; single view |
15 |
13 |
$95.04 |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$91.18 |
| 85651 |
|
29 |
28 |
$88.81 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
45 |
45 |
$75.57 |
| 87088 |
|
12 |
12 |
$71.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18 |
14 |
$4.75 |