| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,075 |
85,867 |
$3.74M |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
2,597 |
1,206 |
$2.79M |
| 88381 |
|
27,479 |
16,933 |
$2.47M |
| 87799 |
|
16,693 |
16,581 |
$2.29M |
| 88312 |
|
17,926 |
17,709 |
$1.69M |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
14,847 |
14,661 |
$1.53M |
| 11056 |
|
34,941 |
34,039 |
$1.41M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,916 |
17,702 |
$1.21M |
| 97597 |
|
18,479 |
13,777 |
$1.09M |
| 20550 |
|
21,768 |
12,673 |
$991K |
| 88313 |
|
17,916 |
17,699 |
$963K |
| 11750 |
|
6,905 |
4,955 |
$625K |
| 99243 |
|
8,695 |
8,647 |
$582K |
| 11721 |
|
23,645 |
23,194 |
$513K |
| 73630 |
|
22,761 |
15,724 |
$503K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,788 |
4,774 |
$489K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,776 |
3,154 |
$413K |
| 97598 |
|
6,621 |
6,106 |
$401K |
| 11755 |
|
16,136 |
8,206 |
$386K |
| 28001 |
|
2,601 |
2,379 |
$341K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
981 |
929 |
$333K |
| 15275 |
|
4,136 |
1,998 |
$317K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,370 |
5,362 |
$308K |
| 29540 |
|
24,333 |
13,155 |
$295K |
| 11043 |
|
2,354 |
2,082 |
$255K |
| Q4187 |
Epicord, per square centimeter (add-on, list separately in addition to primary procedure) |
39 |
17 |
$223K |
| Q4131 |
Epifix or epicord, per square centimeter |
539 |
240 |
$156K |
| Q4278 |
Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) |
231 |
56 |
$151K |
| 11057 |
|
6,166 |
6,103 |
$123K |
| Q4133 |
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) |
28 |
15 |
$106K |
| 29580 |
|
3,597 |
1,818 |
$87K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12,485 |
11,652 |
$76K |
| 93925 |
|
856 |
850 |
$71K |
| 76882 |
|
6,280 |
4,018 |
$68K |
| 93970 |
|
705 |
702 |
$64K |
| 76942 |
|
1,872 |
1,756 |
$55K |
| G0127 |
Trimming of dystrophic nails, any number |
4,899 |
4,780 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,576 |
2,296 |
$51K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
300 |
150 |
$39K |
| 11055 |
|
756 |
694 |
$32K |
| 87640 |
|
981 |
929 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
981 |
929 |
$26K |
| 87653 |
|
981 |
929 |
$25K |
| 28003 |
|
42 |
36 |
$19K |
| 73610 |
|
890 |
738 |
$16K |
| 15004 |
|
287 |
252 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
187 |
177 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,420 |
1,362 |
$14K |
| 17110 |
|
113 |
89 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,458 |
1,305 |
$13K |
| 15271 |
|
160 |
68 |
$12K |
| 29581 |
|
404 |
227 |
$10K |
| 99242 |
|
259 |
259 |
$8K |
| 93922 |
|
143 |
142 |
$8K |
| 29799 |
|
211 |
114 |
$5K |
| 11307 |
|
135 |
71 |
$5K |
| 97760 |
|
109 |
109 |
$4K |
| A4580 |
Cast supplies (e.g., plaster) |
63 |
32 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
261 |
256 |
$3K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
74 |
37 |
$3K |
| 99245 |
|
19 |
19 |
$2K |
| 73600 |
|
155 |
83 |
$2K |
| 1036F |
|
4,363 |
4,136 |
$2K |
| 29405 |
|
14 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$905.55 |
| 73700 |
|
14 |
13 |
$811.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
135 |
129 |
$659.94 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
48 |
24 |
$651.14 |
| 99072 |
|
2,143 |
1,610 |
$564.55 |
| 11730 |
|
16 |
14 |
$520.37 |
| 95999 |
|
32 |
32 |
$445.00 |
| 73620 |
|
20 |
12 |
$236.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,351 |
2,219 |
$33.60 |
| 0518F |
|
1,154 |
1,085 |
$32.16 |
| 95851 |
|
31 |
31 |
$20.80 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
38 |
38 |
$11.19 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
308 |
283 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
431 |
421 |
$0.00 |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
26 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
875 |
840 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |
| Q4177 |
Floweramnioflo, 0.1 cc |
14 |
12 |
$0.00 |
| 3288F |
|
47 |
46 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
385 |
372 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
216 |
211 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
52 |
50 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
41 |
40 |
$0.00 |
| 97610 |
|
95 |
78 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
25 |
24 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
30 |
30 |
$0.00 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14 |
12 |
$0.00 |