| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,959 |
4,473 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,859 |
1,683 |
$73K |
| 99215 |
Prolong outpt/office vis |
273 |
265 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,845 |
2,724 |
$8K |
| G0179 |
Physician or allowed practitioner re-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 |
854 |
854 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,924 |
1,884 |
$6K |
| 98928 |
|
572 |
488 |
$6K |
| 93970 |
|
365 |
354 |
$5K |
| 80061 |
Lipid panel |
739 |
709 |
$5K |
| 80053 |
Comprehensive metabolic panel |
898 |
864 |
$5K |
| 99490 |
Ccm add 20min |
834 |
811 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
246 |
242 |
$3K |
| 93000 |
|
801 |
780 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
338 |
323 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,362 |
3,159 |
$2K |
| 20610 |
|
554 |
401 |
$2K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
448 |
414 |
$2K |
| 93880 |
|
166 |
165 |
$2K |
| 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 |
145 |
145 |
$2K |
| 81002 |
|
952 |
924 |
$1K |
| 93923 |
|
141 |
137 |
$917.95 |
| 99349 |
|
53 |
51 |
$773.19 |
| 71046 |
Radiologic examination, chest; 2 views |
79 |
68 |
$702.02 |
| 93925 |
|
68 |
68 |
$461.50 |
| 94060 |
|
13 |
13 |
$232.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
104 |
89 |
$202.75 |
| 97811 |
|
22 |
12 |
$176.76 |
| 94010 |
|
13 |
12 |
$170.18 |
| 83880 |
|
145 |
137 |
$135.45 |
| 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) |
89 |
77 |
$133.42 |
| 97810 |
|
22 |
12 |
$125.97 |
| 99350 |
Prolong home eval add 15m |
12 |
12 |
$116.82 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
63 |
56 |
$114.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$107.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
25 |
$103.02 |
| 90688 |
|
60 |
58 |
$81.35 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
31 |
$53.68 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
725 |
690 |
$32.00 |
| 94760 |
|
125 |
121 |
$30.00 |
| 82550 |
|
43 |
43 |
$5.39 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
181 |
177 |
$0.00 |
| 83735 |
|
64 |
64 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
140 |
126 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
57 |
55 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
154 |
135 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
256 |
252 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
138 |
122 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
20 |
18 |
$0.00 |