| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,299 |
39,770 |
$1.92M |
| 99091 |
|
4,425 |
3,784 |
$740K |
| 99422 |
|
8,338 |
3,216 |
$184K |
| 99444 |
|
2,875 |
965 |
$161K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,774 |
1,715 |
$147K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,355 |
2,073 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,619 |
1,492 |
$132K |
| 99421 |
|
6,962 |
2,493 |
$121K |
| 95816 |
|
816 |
475 |
$90K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
588 |
563 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,266 |
1,160 |
$72K |
| 99423 |
|
1,258 |
620 |
$72K |
| 76770 |
|
1,200 |
1,161 |
$71K |
| 94010 |
|
2,961 |
2,775 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,207 |
1,091 |
$55K |
| 76536 |
|
669 |
650 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
462 |
425 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
360 |
329 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,534 |
1,472 |
$20K |
| 93922 |
|
630 |
503 |
$18K |
| 92546 |
|
259 |
219 |
$14K |
| 95930 |
|
846 |
475 |
$12K |
| 90756 |
|
849 |
695 |
$12K |
| 93880 |
|
178 |
116 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,434 |
1,237 |
$10K |
| 95923 |
|
132 |
128 |
$10K |
| 92585 |
|
486 |
208 |
$10K |
| 93000 |
|
1,118 |
1,063 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
71 |
71 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
564 |
482 |
$6K |
| 99487 |
Ccm add 20min |
5,408 |
5,214 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
92 |
91 |
$5K |
| 93224 |
|
85 |
72 |
$4K |
| 92653 |
|
346 |
265 |
$3K |
| 93040 |
|
815 |
472 |
$3K |
| 92250 |
|
79 |
75 |
$3K |
| 95957 |
|
847 |
474 |
$3K |
| 93970 |
|
30 |
24 |
$2K |
| 99397 |
|
43 |
40 |
$2K |
| 99497 |
|
570 |
517 |
$2K |
| 92547 |
|
949 |
640 |
$1K |
| 81002 |
|
452 |
411 |
$1K |
| 3044F |
|
1,767 |
1,603 |
$980.03 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$828.80 |
| 99457 |
|
2,346 |
2,069 |
$744.05 |
| 99454 |
|
1,643 |
1,462 |
$590.99 |
| 92551 |
|
167 |
154 |
$576.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
63 |
$564.63 |
| 99458 |
|
1,757 |
1,621 |
$376.11 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
14 |
14 |
$250.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
27 |
$241.51 |
| 96127 |
|
20,779 |
9,657 |
$126.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
9,733 |
8,623 |
$124.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
65 |
$105.65 |
| 81025 |
|
13 |
13 |
$101.52 |
| 99484 |
|
518 |
509 |
$100.83 |
| 93923 |
|
13 |
13 |
$94.10 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,159 |
4,647 |
$62.16 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
50 |
44 |
$61.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
35 |
31 |
$46.63 |
| 99072 |
|
6,313 |
5,049 |
$45.38 |
| 96139 |
|
851 |
475 |
$32.13 |
| 96138 |
|
851 |
475 |
$32.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
19 |
$8.95 |
| 99490 |
Ccm add 20min |
202 |
202 |
$4.75 |
| 51798 |
|
18 |
18 |
$3.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,898 |
4,397 |
$0.36 |
| 90686 |
|
210 |
196 |
$0.09 |
| G9459 |
Currently a tobacco non-user |
3,876 |
3,485 |
$0.04 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
4,601 |
4,168 |
$0.04 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
819 |
738 |
$0.04 |
| 91301 |
|
27 |
24 |
$0.02 |
| 3079F |
|
2,139 |
1,854 |
$0.01 |
| 3075F |
|
1,315 |
1,136 |
$0.01 |
| 1170F |
|
5,847 |
5,269 |
$0.00 |
| 1125F |
|
1,400 |
1,296 |
$0.00 |
| 1126F |
|
4,282 |
3,878 |
$0.00 |
| 2023F |
|
249 |
238 |
$0.00 |
| 1101F |
|
4,773 |
4,295 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
65 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
380 |
334 |
$0.00 |
| 3074F |
|
3,275 |
2,769 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,485 |
1,197 |
$0.00 |
| 3061F |
|
77 |
76 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
91 |
$0.00 |
| 90651 |
|
46 |
42 |
$0.00 |
| 4037F |
|
373 |
338 |
$0.00 |
| 3080F |
|
319 |
288 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
33 |
33 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,054 |
1,612 |
$0.00 |
| 3288F |
|
5,652 |
5,113 |
$0.00 |
| 1160F |
|
6,733 |
5,709 |
$0.00 |
| 1090F |
|
5,765 |
5,211 |
$0.00 |
| 3725F |
|
4,260 |
3,840 |
$0.00 |
| 1158F |
|
4,254 |
3,869 |
$0.00 |
| 3078F |
|
2,757 |
2,329 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,302 |
1,037 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
129 |
123 |
$0.00 |
| 1159F |
|
2,953 |
2,627 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
34 |
28 |
$0.00 |
| 99177 |
|
140 |
123 |
$0.00 |
| 90734 |
|
67 |
55 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
150 |
128 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 3051F |
|
14 |
12 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |
| 99453 |
|
610 |
362 |
$0.00 |
| 0521F |
|
19 |
19 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
36 |
32 |
$0.00 |