| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,394 |
30,727 |
$3.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,320 |
21,934 |
$1.61M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,599 |
4,586 |
$447K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,513 |
3,503 |
$311K |
| 99442 |
|
1,562 |
1,493 |
$96K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,093 |
6,995 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,037 |
1,030 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,052 |
1,925 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,771 |
9,645 |
$60K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,406 |
6,017 |
$57K |
| 80053 |
Comprehensive metabolic panel |
6,890 |
6,798 |
$57K |
| 82607 |
|
5,760 |
5,679 |
$55K |
| 82728 |
|
5,715 |
5,631 |
$51K |
| 84439 |
|
7,190 |
7,096 |
$50K |
| 80061 |
Lipid panel |
5,009 |
4,932 |
$48K |
| 82746 |
|
5,021 |
4,953 |
$46K |
| 99385 |
|
415 |
411 |
$44K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,318 |
5,269 |
$35K |
| 99441 |
|
948 |
905 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
1,770 |
1,744 |
$30K |
| 99454 |
|
883 |
883 |
$27K |
| 90674 |
|
1,100 |
1,096 |
$25K |
| 99457 |
|
882 |
882 |
$24K |
| 83735 |
|
4,430 |
4,386 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,205 |
1,052 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,660 |
1,649 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,876 |
1,831 |
$17K |
| 99406 |
|
2,560 |
2,524 |
$16K |
| 93000 |
|
1,948 |
1,929 |
$16K |
| 72100 |
|
755 |
750 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
177 |
$16K |
| 96127 |
|
4,650 |
4,624 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,350 |
1,245 |
$13K |
| 82948 |
|
4,754 |
4,280 |
$12K |
| 87428 |
|
286 |
282 |
$11K |
| 81003 |
|
5,654 |
5,493 |
$10K |
| 99401 |
|
2,214 |
2,174 |
$9K |
| 81025 |
|
1,258 |
1,233 |
$8K |
| 82947 |
|
3,079 |
2,786 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
25 |
25 |
$7K |
| 80305 |
|
795 |
739 |
$6K |
| 90686 |
|
355 |
354 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
251 |
250 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,868 |
3,130 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
112 |
$4K |
| 81002 |
|
1,827 |
1,751 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,527 |
1,477 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
134 |
$3K |
| 20552 |
|
141 |
138 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,084 |
2,009 |
$3K |
| 99386 |
|
24 |
24 |
$3K |
| 90656 |
|
192 |
190 |
$3K |
| 99453 |
|
247 |
247 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$2K |
| 73560 |
|
92 |
84 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 74022 |
|
44 |
44 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
213 |
207 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
148 |
128 |
$743.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
672 |
615 |
$704.31 |
| 86580 |
|
127 |
115 |
$694.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$439.46 |
| 82044 |
|
85 |
85 |
$371.84 |
| 71045 |
Radiologic examination, chest; single view |
24 |
24 |
$321.42 |
| 83014 |
|
79 |
77 |
$260.32 |
| 82570 |
|
86 |
86 |
$239.64 |
| 72040 |
|
12 |
12 |
$235.32 |
| 74018 |
|
13 |
13 |
$230.87 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
50 |
48 |
$167.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
88 |
85 |
$146.61 |
| G0008 |
Administration of influenza virus vaccine |
81 |
81 |
$16.13 |
| 1170F |
|
383 |
379 |
$0.16 |
| 3044F |
|
125 |
124 |
$0.02 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
432 |
426 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
307 |
305 |
$0.00 |
| 87581 |
|
13 |
12 |
$0.00 |
| 99000 |
|
77 |
75 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
101 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
475 |
468 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
48 |
47 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
17 |
12 |
$0.00 |