| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,794 |
4,591 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,604 |
4,070 |
$116K |
| 76775 |
|
3,037 |
2,983 |
$29K |
| 76857 |
|
3,100 |
3,023 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
285 |
284 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,298 |
2,628 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,027 |
1,984 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
70 |
66 |
$6K |
| 51741 |
|
871 |
852 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
222 |
140 |
$2K |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
1,146 |
1,095 |
$2K |
| 76770 |
|
90 |
89 |
$1K |
| 51728 |
|
291 |
287 |
$1K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
331 |
199 |
$1K |
| 52281 |
|
381 |
380 |
$999.66 |
| 81000 |
|
5,204 |
4,665 |
$933.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,351 |
2,312 |
$835.69 |
| 64566 |
|
30 |
13 |
$787.41 |
| 84403 |
|
1,698 |
1,682 |
$545.76 |
| 51700 |
|
51 |
41 |
$531.08 |
| 84153 |
|
1,984 |
1,964 |
$490.89 |
| 82570 |
|
5,002 |
4,486 |
$374.48 |
| 80076 |
|
1,919 |
1,899 |
$248.57 |
| 80069 |
|
1,839 |
1,804 |
$195.31 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
961 |
859 |
$188.47 |
| 84270 |
|
800 |
794 |
$179.30 |
| 84443 |
Thyroid stimulating hormone (TSH) |
794 |
789 |
$155.53 |
| 51702 |
|
13 |
12 |
$139.15 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
727 |
717 |
$134.50 |
| 76872 |
|
83 |
82 |
$133.94 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
64 |
24 |
$114.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
829 |
825 |
$94.43 |
| 84439 |
|
786 |
781 |
$76.53 |
| 36415 |
Collection of venous blood by venipuncture |
549 |
535 |
$59.53 |
| 87077 |
|
627 |
563 |
$50.41 |
| 84550 |
|
910 |
902 |
$49.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
99 |
$40.53 |
| 82670 |
|
366 |
363 |
$24.46 |
| 84154 |
|
336 |
333 |
$18.98 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$14.54 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
14 |
14 |
$12.63 |
| 87184 |
|
352 |
320 |
$8.38 |
| 83001 |
|
89 |
89 |
$0.00 |
| 86316 |
|
62 |
62 |
$0.00 |
| 95971 |
|
29 |
12 |
$0.00 |
| 83002 |
|
89 |
89 |
$0.00 |
| 87147 |
|
12 |
12 |
$0.00 |
| 82465 |
|
362 |
361 |
$0.00 |
| 80061 |
Lipid panel |
279 |
279 |
$0.00 |
| 83718 |
|
363 |
362 |
$0.00 |
| 1090F |
|
12 |
12 |
$0.00 |
| 84146 |
|
55 |
55 |
$0.00 |