| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,562 |
30,977 |
$1.56M |
| 80324 |
|
7,965 |
7,586 |
$860K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,920 |
8,190 |
$156K |
| 80365 |
|
2,408 |
2,211 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,047 |
2,729 |
$83K |
| 80359 |
|
2,407 |
2,210 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
462 |
418 |
$37K |
| 80348 |
|
10,194 |
7,598 |
$6K |
| 80354 |
|
10,192 |
7,597 |
$6K |
| 80356 |
|
6,512 |
6,220 |
$4K |
| 80346 |
|
7,964 |
7,586 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$3K |
| 80358 |
|
6,335 |
6,043 |
$3K |
| 80353 |
|
7,963 |
7,585 |
$3K |
| 80373 |
|
2,408 |
2,211 |
$3K |
| 80361 |
|
2,579 |
2,382 |
$2K |
| 80375 |
|
2,407 |
2,210 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$2K |
| 72100 |
|
1,880 |
1,758 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,362 |
1,169 |
$1K |
| 82947 |
|
4,107 |
3,250 |
$678.18 |
| 1000F |
|
9,512 |
7,217 |
$231.12 |
| 99490 |
Ccm add 20min |
102 |
90 |
$211.43 |
| 93000 |
|
463 |
408 |
$189.05 |
| 36415 |
Collection of venous blood by venipuncture |
3,533 |
2,950 |
$188.04 |
| 81025 |
|
360 |
324 |
$162.47 |
| 72040 |
|
280 |
269 |
$129.92 |
| 99397 |
|
49 |
46 |
$97.47 |
| 71046 |
Radiologic examination, chest; 2 views |
111 |
94 |
$72.00 |
| 81003 |
|
584 |
501 |
$62.03 |
| 99406 |
|
290 |
254 |
$53.18 |
| 1125F |
|
9,998 |
7,373 |
$44.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
743 |
667 |
$41.78 |
| 73565 |
|
45 |
42 |
$20.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
53 |
$13.20 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,218 |
5,308 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
80 |
54 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,152 |
2,339 |
$0.00 |
| 1126F |
|
3,098 |
2,577 |
$0.00 |
| 3074F |
|
141 |
108 |
$0.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
1,311 |
1,088 |
$0.00 |
| 1111F |
|
3,034 |
2,517 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
759 |
573 |
$0.00 |
| 1170F |
|
918 |
694 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,480 |
1,166 |
$0.00 |
| 1220F |
|
494 |
444 |
$0.00 |
| 3079F |
|
92 |
70 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
145 |
135 |
$0.00 |
| 3080F |
|
34 |
24 |
$0.00 |
| 3075F |
|
50 |
40 |
$0.00 |
| 73521 |
|
12 |
12 |
$0.00 |
| 93922 |
|
22 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
53 |
46 |
$0.00 |
| 88141 |
|
48 |
47 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
6,139 |
4,641 |
$0.00 |
| 1160F |
|
9,453 |
7,187 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,961 |
3,529 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,689 |
2,026 |
$0.00 |
| 1159F |
|
9,459 |
7,180 |
$0.00 |
| 99497 |
|
18 |
12 |
$0.00 |
| 80061 |
Lipid panel |
48 |
40 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
203 |
201 |
$0.00 |
| 3077F |
|
116 |
80 |
$0.00 |
| 1158F |
|
363 |
315 |
$0.00 |
| 82948 |
|
39 |
32 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 3078F |
|
188 |
140 |
$0.00 |
| 73030 |
|
15 |
13 |
$0.00 |