| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,523 |
13,535 |
$983K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,116 |
11,354 |
$574K |
| 36415 |
Collection of venous blood by venipuncture |
39,954 |
36,969 |
$157K |
| 80061 |
Lipid panel |
9,624 |
9,415 |
$100K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,895 |
1,395 |
$93K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,016 |
12,401 |
$82K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,201 |
9,820 |
$67K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,861 |
3,713 |
$63K |
| 90691 |
|
428 |
426 |
$53K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,415 |
6,271 |
$51K |
| 83013 |
|
752 |
747 |
$51K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,165 |
1,117 |
$50K |
| 80053 |
Comprehensive metabolic panel |
5,097 |
4,941 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
449 |
432 |
$40K |
| 90717 |
|
273 |
273 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
429 |
423 |
$38K |
| 87660 |
|
1,973 |
1,913 |
$37K |
| 87480 |
|
1,972 |
1,912 |
$37K |
| 87510 |
|
1,967 |
1,909 |
$37K |
| 80306 |
|
2,552 |
2,049 |
$36K |
| 90686 |
|
1,992 |
1,931 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
944 |
896 |
$19K |
| 85027 |
|
2,680 |
2,611 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
776 |
763 |
$13K |
| 80050 |
General health panel |
169 |
167 |
$9K |
| 99401 |
|
336 |
336 |
$8K |
| 82043 |
|
1,663 |
1,629 |
$8K |
| 81001 |
|
2,710 |
2,609 |
$8K |
| 99215 |
Prolong outpt/office vis |
63 |
58 |
$8K |
| 82570 |
|
1,663 |
1,630 |
$7K |
| 91322 |
|
68 |
64 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
145 |
$6K |
| 0352U |
|
41 |
41 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
203 |
$6K |
| 85018 |
|
2,401 |
2,335 |
$5K |
| 83014 |
|
631 |
628 |
$5K |
| 90677 |
|
15 |
15 |
$4K |
| 92551 |
|
630 |
606 |
$4K |
| 81025 |
|
456 |
443 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
39 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 0124A |
|
94 |
91 |
$3K |
| X5622 |
|
406 |
396 |
$3K |
| 36416 |
|
814 |
679 |
$2K |
| 90480 |
|
81 |
78 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 96127 |
|
499 |
480 |
$2K |
| 85610 |
|
588 |
368 |
$2K |
| 0002A |
|
38 |
38 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
88 |
84 |
$2K |
| 82248 |
|
326 |
308 |
$1K |
| 81003 |
|
787 |
769 |
$1K |
| 0001A |
|
33 |
33 |
$1K |
| 99443 |
|
13 |
13 |
$1K |
| 99442 |
|
15 |
15 |
$1K |
| 99173 |
|
624 |
598 |
$876.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
36 |
$764.48 |
| 85049 |
|
178 |
171 |
$720.99 |
| 0004A |
|
18 |
18 |
$699.38 |
| 90656 |
|
58 |
58 |
$689.92 |
| 80076 |
|
149 |
137 |
$569.22 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
24 |
$558.98 |
| 82947 |
|
111 |
106 |
$417.27 |
| 85048 |
|
176 |
169 |
$405.21 |
| 83690 |
|
56 |
55 |
$377.64 |
| 90715 |
|
15 |
13 |
$336.36 |
| 99188 |
|
54 |
52 |
$299.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$286.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$182.49 |
| 85652 |
|
65 |
65 |
$172.57 |
| G0008 |
Administration of influenza virus vaccine |
153 |
149 |
$128.46 |
| 99406 |
|
16 |
12 |
$90.33 |
| 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) |
31 |
30 |
$72.27 |
| 82950 |
|
12 |
12 |
$58.68 |
| 84460 |
|
12 |
12 |
$52.67 |
| 90670 |
|
15 |
14 |
$0.00 |
| 99000 |
|
27 |
26 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$0.00 |
| 87430 |
|
13 |
12 |
$0.00 |