| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114,144 |
106,307 |
$7.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,310 |
29,507 |
$1.47M |
| 80050 |
General health panel |
5,285 |
5,160 |
$149K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19,096 |
18,615 |
$144K |
| 36415 |
Collection of venous blood by venipuncture |
50,839 |
48,653 |
$136K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,128 |
1,110 |
$110K |
| 80061 |
Lipid panel |
12,261 |
11,818 |
$100K |
| 99215 |
Prolong outpt/office vis |
1,169 |
1,116 |
$91K |
| 80053 |
Comprehensive metabolic panel |
15,256 |
14,459 |
$88K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,448 |
4,325 |
$84K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,267 |
6,951 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,812 |
8,355 |
$35K |
| 82607 |
|
3,180 |
3,092 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,581 |
1,471 |
$30K |
| 99422 |
|
780 |
749 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
241 |
237 |
$18K |
| 90686 |
|
1,042 |
836 |
$16K |
| 82728 |
|
1,561 |
1,510 |
$15K |
| 0011A |
|
495 |
480 |
$14K |
| 82043 |
|
3,253 |
3,114 |
$13K |
| 0012A |
|
395 |
384 |
$13K |
| 84153 |
|
953 |
926 |
$13K |
| 97802 |
|
162 |
126 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
273 |
127 |
$11K |
| 84439 |
|
1,978 |
1,927 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
354 |
$10K |
| 83550 |
|
1,784 |
1,736 |
$10K |
| 0002A |
|
451 |
436 |
$10K |
| 85027 |
|
2,550 |
2,453 |
$10K |
| 86803 |
|
859 |
819 |
$9K |
| 83540 |
|
2,114 |
2,059 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,748 |
1,659 |
$9K |
| 0001A |
|
656 |
610 |
$8K |
| 97803 |
|
132 |
83 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
57 |
$5K |
| 86140 |
|
1,467 |
1,404 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
56 |
$4K |
| 81001 |
|
2,253 |
2,159 |
$4K |
| 83013 |
|
50 |
50 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
38 |
$3K |
| 85610 |
|
844 |
805 |
$3K |
| 87077 |
|
437 |
425 |
$3K |
| 83735 |
|
459 |
438 |
$2K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
96 |
93 |
$2K |
| 87186 |
|
241 |
233 |
$2K |
| 86706 |
|
141 |
141 |
$2K |
| 81003 |
|
681 |
662 |
$957.93 |
| 99493 |
|
14 |
14 |
$919.75 |
| 99421 |
|
60 |
59 |
$785.07 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$719.77 |
| 84550 |
|
158 |
154 |
$573.38 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$526.85 |
| 80076 |
|
57 |
56 |
$427.35 |
| 83014 |
|
50 |
50 |
$359.51 |
| 90715 |
|
17 |
17 |
$354.31 |
| 90656 |
|
14 |
13 |
$336.63 |
| 82248 |
|
67 |
67 |
$278.41 |
| 93000 |
|
19 |
15 |
$239.47 |
| 84460 |
|
80 |
76 |
$184.93 |
| 84450 |
|
80 |
75 |
$180.50 |
| 80305 |
|
20 |
20 |
$149.08 |
| 86430 |
|
389 |
353 |
$140.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
32 |
31 |
$118.50 |
| 96127 |
|
34 |
26 |
$115.96 |
| 99441 |
|
13 |
12 |
$114.71 |
| 90662 |
|
15 |
15 |
$112.63 |
| 82550 |
|
43 |
43 |
$109.13 |
| 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) |
13 |
12 |
$67.94 |
| G0008 |
Administration of influenza virus vaccine |
35 |
31 |
$64.64 |
| 85652 |
|
676 |
638 |
$54.06 |
| 82746 |
|
25 |
25 |
$50.01 |
| 81002 |
|
12 |
12 |
$30.03 |
| 84481 |
|
295 |
290 |
$19.61 |
| 87340 |
|
34 |
30 |
$11.59 |
| 83721 |
|
89 |
84 |
$10.36 |
| 80074 |
|
16 |
15 |
$0.00 |
| 86592 |
|
33 |
32 |
$0.00 |
| 86141 |
|
64 |
64 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
39 |
38 |
$0.00 |