| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
1,356 |
998 |
$14K |
| 80061 |
Lipid panel |
1,607 |
1,306 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,599 |
812 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,720 |
1,389 |
$6K |
| 0002A |
|
399 |
231 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
147 |
143 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
596 |
330 |
$4K |
| 0001A |
|
384 |
245 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
644 |
523 |
$3K |
| 90461 |
|
345 |
282 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21 |
21 |
$2K |
| 84153 |
|
316 |
240 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
426 |
354 |
$2K |
| 97803 |
|
104 |
90 |
$2K |
| 97802 |
|
92 |
90 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,180 |
2,129 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
90 |
84 |
$2K |
| 90651 |
|
349 |
246 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
200 |
183 |
$2K |
| 81001 |
|
1,531 |
1,236 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
58 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
28 |
$1K |
| 86592 |
|
822 |
544 |
$996.10 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,235 |
1,090 |
$828.97 |
| 0003A |
|
19 |
19 |
$720.00 |
| 84436 |
|
303 |
254 |
$710.48 |
| 90697 |
|
33 |
30 |
$586.44 |
| 90716 |
|
99 |
80 |
$368.25 |
| 90734 |
|
190 |
136 |
$339.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
33 |
$310.08 |
| 99215 |
Prolong outpt/office vis |
688 |
663 |
$301.40 |
| 90707 |
|
91 |
77 |
$216.84 |
| 90656 |
|
428 |
251 |
$211.09 |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,707 |
3,215 |
$147.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,682 |
1,627 |
$108.26 |
| 90837 |
Psychotherapy, 53 minutes with patient |
678 |
482 |
$79.00 |
| 90715 |
|
86 |
74 |
$72.33 |
| 90670 |
|
72 |
44 |
$32.00 |
| 90633 |
|
130 |
99 |
$20.34 |
| 90677 |
|
66 |
64 |
$0.29 |
| 90647 |
|
33 |
30 |
$0.16 |
| 90696 |
|
16 |
16 |
$0.15 |
| 90700 |
|
15 |
14 |
$0.13 |
| 90620 |
|
13 |
12 |
$0.11 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
88 |
88 |
$0.00 |
| 86580 |
|
82 |
52 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
34 |
31 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 91300 |
|
757 |
428 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
39 |
$0.00 |
| 90681 |
|
15 |
13 |
$0.00 |
| 90623 |
|
13 |
12 |
$0.00 |