| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,019 |
18,791 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,602 |
15,364 |
$693K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,965 |
1,918 |
$168K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,274 |
2,214 |
$75K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,650 |
2,550 |
$47K |
| 99215 |
Prolong outpt/office vis |
514 |
488 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
565 |
560 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,721 |
1,635 |
$30K |
| 80061 |
Lipid panel |
4,094 |
3,915 |
$27K |
| 80050 |
General health panel |
1,467 |
1,435 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,594 |
4,374 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
149 |
$16K |
| 90756 |
|
974 |
950 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,360 |
2,261 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,605 |
3,474 |
$11K |
| 82607 |
|
1,024 |
1,006 |
$9K |
| 80053 |
Comprehensive metabolic panel |
1,801 |
1,752 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
254 |
248 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
254 |
248 |
$7K |
| 81002 |
|
3,766 |
3,669 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
167 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,792 |
1,711 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$4K |
| 90688 |
|
187 |
186 |
$3K |
| 90658 |
|
258 |
258 |
$3K |
| 99496 |
|
34 |
33 |
$3K |
| 93000 |
|
273 |
267 |
$3K |
| 90662 |
|
390 |
346 |
$3K |
| 82728 |
|
359 |
346 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,877 |
6,515 |
$2K |
| 96127 |
|
416 |
406 |
$2K |
| 80076 |
|
1,205 |
1,168 |
$2K |
| 84153 |
|
184 |
170 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
172 |
$2K |
| 94760 |
|
5,006 |
4,690 |
$2K |
| 83540 |
|
417 |
402 |
$1K |
| 83550 |
|
278 |
270 |
$1K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
127 |
125 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
218 |
214 |
$1K |
| 99406 |
|
334 |
288 |
$968.89 |
| 99407 |
|
47 |
46 |
$928.25 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$844.90 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
186 |
177 |
$714.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
57 |
$637.67 |
| G0008 |
Administration of influenza virus vaccine |
647 |
625 |
$616.50 |
| 90694 |
|
47 |
44 |
$509.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$445.83 |
| 84439 |
|
104 |
102 |
$382.82 |
| 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) |
135 |
105 |
$371.12 |
| ATP18 |
|
305 |
305 |
$285.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
24 |
$207.83 |
| 82274 |
|
25 |
25 |
$143.99 |
| 99080 |
|
35 |
27 |
$66.00 |
| ATP15 |
|
102 |
100 |
$65.34 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
15 |
13 |
$34.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$29.96 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
50 |
50 |
$24.00 |
| ATP17 |
|
97 |
96 |
$22.09 |
| 1000F |
|
478 |
443 |
$0.02 |
| 90686 |
|
13 |
13 |
$0.00 |
| ATP14 |
|
12 |
12 |
$0.00 |