| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,822 |
9,887 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,031 |
1,891 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,026 |
958 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
907 |
873 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,560 |
1,327 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,216 |
835 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
342 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
99 |
94 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
746 |
674 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
387 |
348 |
$8K |
| 92567 |
|
499 |
480 |
$7K |
| 90670 |
|
659 |
651 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
111 |
$6K |
| 90648 |
|
609 |
593 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
88 |
66 |
$5K |
| 90686 |
|
435 |
410 |
$4K |
| 87081 |
|
489 |
441 |
$4K |
| 90970 |
|
14 |
12 |
$3K |
| 99243 |
|
28 |
28 |
$3K |
| 71020 |
|
85 |
77 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
60 |
$2K |
| 90723 |
|
218 |
217 |
$2K |
| 85027 |
|
541 |
419 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
327 |
274 |
$2K |
| 80053 |
Comprehensive metabolic panel |
523 |
368 |
$2K |
| 93971 |
|
55 |
54 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 92579 |
|
40 |
40 |
$1K |
| 93970 |
|
24 |
24 |
$974.16 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
32 |
28 |
$934.13 |
| 90680 |
|
97 |
97 |
$917.76 |
| 90633 |
|
92 |
87 |
$831.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$571.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
209 |
141 |
$539.60 |
| 90685 |
|
58 |
52 |
$497.12 |
| 81001 |
|
98 |
92 |
$385.48 |
| 74018 |
|
13 |
12 |
$316.60 |
| 20610 |
|
17 |
12 |
$288.47 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
24 |
$263.78 |
| 86703 |
|
13 |
12 |
$235.08 |
| 90651 |
|
35 |
28 |
$229.44 |
| 85018 |
|
70 |
68 |
$212.12 |
| 87420 |
|
39 |
22 |
$205.92 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
100 |
78 |
$205.35 |
| 80061 |
Lipid panel |
35 |
25 |
$199.76 |
| 94664 |
|
12 |
12 |
$166.80 |
| 85014 |
|
57 |
55 |
$165.62 |
| 87088 |
|
14 |
13 |
$138.60 |
| 85007 |
|
29 |
29 |
$127.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
36 |
26 |
$124.83 |
| 90710 |
|
13 |
13 |
$124.28 |
| 90716 |
|
12 |
12 |
$114.72 |
| 90681 |
|
12 |
12 |
$114.72 |
| 86592 |
|
13 |
12 |
$73.20 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
35 |
25 |
$11.56 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
60 |
$0.00 |