| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,374 |
24,117 |
$1.35M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19,063 |
5,811 |
$554K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,586 |
10,991 |
$524K |
| 99255 |
|
3,267 |
2,973 |
$401K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,996 |
7,371 |
$200K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
4,255 |
3,910 |
$197K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,644 |
2,235 |
$180K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,895 |
4,306 |
$147K |
| 99223 |
Prolong inpt eval add15 m |
2,627 |
2,326 |
$136K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,652 |
1,448 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,073 |
1,013 |
$86K |
| 99441 |
|
5,578 |
3,932 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,705 |
1,640 |
$76K |
| 99215 |
Prolong outpt/office vis |
1,709 |
1,444 |
$76K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,645 |
933 |
$38K |
| 99337 |
|
1,747 |
1,362 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
580 |
539 |
$34K |
| 93000 |
|
3,777 |
3,316 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,264 |
3,685 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
907 |
830 |
$29K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,828 |
1,104 |
$29K |
| 99233 |
Prolong inpt eval add15 m |
833 |
369 |
$28K |
| 99307 |
|
2,577 |
1,275 |
$19K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
975 |
572 |
$15K |
| 90682 |
|
533 |
433 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
11,192 |
10,418 |
$14K |
| 86328 |
|
559 |
400 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,131 |
1,015 |
$14K |
| 92250 |
|
670 |
537 |
$13K |
| 99350 |
Prolong home eval add 15m |
809 |
542 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,127 |
990 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,804 |
2,484 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
405 |
361 |
$10K |
| 11056 |
|
1,411 |
1,055 |
$9K |
| 99457 |
|
2,172 |
2,076 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
246 |
245 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
188 |
186 |
$7K |
| 99454 |
|
1,315 |
1,240 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
184 |
40 |
$4K |
| 11720 |
|
766 |
512 |
$4K |
| 90662 |
|
383 |
363 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
553 |
482 |
$3K |
| 92015 |
Determination of refractive state |
956 |
887 |
$3K |
| 80305 |
|
391 |
368 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,503 |
2,696 |
$3K |
| 88112 |
|
88 |
88 |
$3K |
| 95923 |
|
40 |
40 |
$3K |
| 11721 |
|
433 |
381 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
575 |
130 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
188 |
186 |
$2K |
| 96160 |
|
1,286 |
1,137 |
$2K |
| 93922 |
|
52 |
52 |
$2K |
| 99442 |
|
222 |
191 |
$2K |
| 96127 |
|
485 |
430 |
$1K |
| 95921 |
|
40 |
40 |
$1K |
| 99304 |
|
92 |
88 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
571 |
545 |
$1K |
| 3008F |
|
5,788 |
4,830 |
$1K |
| 90686 |
|
87 |
87 |
$1K |
| 99335 |
|
135 |
118 |
$908.67 |
| 11719 |
|
748 |
519 |
$872.04 |
| 90653 |
|
62 |
59 |
$867.07 |
| 90656 |
|
65 |
64 |
$822.09 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$804.92 |
| 99385 |
|
13 |
12 |
$772.41 |
| 90658 |
|
56 |
56 |
$700.65 |
| 95250 |
|
13 |
13 |
$653.14 |
| 99490 |
Ccm add 20min |
1,096 |
1,029 |
$631.87 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
93 |
90 |
$629.11 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
53 |
$577.63 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
73 |
63 |
$569.76 |
| 92285 |
|
28 |
28 |
$456.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$281.12 |
| 99334 |
|
93 |
88 |
$260.67 |
| 81003 |
|
232 |
215 |
$206.15 |
| G0008 |
Administration of influenza virus vaccine |
374 |
371 |
$177.89 |
| 29540 |
|
45 |
29 |
$175.95 |
| 99494 |
|
30 |
30 |
$162.99 |
| 95251 |
|
12 |
12 |
$159.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$128.93 |
| 99458 |
|
49 |
47 |
$112.41 |
| 99453 |
|
41 |
41 |
$76.57 |
| 99439 |
|
20 |
17 |
$1.91 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,266 |
1,031 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,552 |
1,288 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
554 |
489 |
$0.00 |
| 99484 |
|
12 |
12 |
$0.00 |
| 3017F |
|
217 |
174 |
$0.00 |
| 99493 |
|
13 |
13 |
$0.00 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
13 |
13 |
$0.00 |
| 99000 |
|
31 |
29 |
$0.00 |
| 3288F |
|
2,482 |
1,978 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,882 |
3,219 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
140 |
111 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
22 |
13 |
$0.00 |