| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,800 |
14,161 |
$362K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,294 |
25,666 |
$246K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,648 |
6,478 |
$239K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
740 |
682 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,117 |
1,027 |
$84K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,337 |
491 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,798 |
1,624 |
$74K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
551 |
497 |
$73K |
| 75574 |
|
750 |
674 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
2,429 |
662 |
$51K |
| 95117 |
|
4,351 |
2,015 |
$30K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
128 |
121 |
$24K |
| 99454 |
|
3,568 |
3,299 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
580 |
416 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
558 |
$14K |
| 93970 |
|
629 |
509 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
375 |
282 |
$12K |
| 92567 |
|
1,181 |
1,095 |
$12K |
| 99487 |
Ccm add 20min |
610 |
574 |
$11K |
| 99457 |
|
5,805 |
5,212 |
$10K |
| 99205 |
Prolong outpt/office vis |
186 |
118 |
$9K |
| 93356 |
|
994 |
819 |
$8K |
| 99215 |
Prolong outpt/office vis |
211 |
144 |
$8K |
| 93000 |
|
1,962 |
1,642 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
444 |
193 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
2,008 |
1,586 |
$7K |
| 92579 |
|
187 |
179 |
$6K |
| 99490 |
Ccm add 20min |
4,662 |
4,424 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
423 |
376 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
137 |
117 |
$5K |
| 99221 |
|
147 |
110 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
278 |
217 |
$4K |
| 99497 |
|
455 |
286 |
$3K |
| G0323 |
Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team) |
378 |
336 |
$3K |
| 92588 |
|
67 |
57 |
$3K |
| 99458 |
|
1,617 |
1,445 |
$2K |
| 99489 |
Ccm add 20min |
216 |
202 |
$2K |
| 95024 |
|
300 |
189 |
$2K |
| 92557 |
|
83 |
73 |
$2K |
| 94010 |
|
1,154 |
987 |
$2K |
| 92551 |
|
208 |
202 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
359 |
$1K |
| 99307 |
|
293 |
258 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 73630 |
|
216 |
132 |
$1K |
| 93458 |
|
15 |
12 |
$895.94 |
| 99439 |
|
760 |
663 |
$667.95 |
| 95816 |
|
17 |
13 |
$656.04 |
| J2785 |
Injection, regadenoson, 0.1 mg |
26 |
26 |
$643.88 |
| 99484 |
|
189 |
179 |
$606.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
26 |
$585.32 |
| 69210 |
|
83 |
54 |
$520.93 |
| 0012A |
|
107 |
89 |
$511.70 |
| 0011A |
|
120 |
99 |
$510.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
44 |
$459.93 |
| 93015 |
|
42 |
38 |
$421.35 |
| 99173 |
|
207 |
202 |
$398.36 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
153 |
100 |
$336.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
359 |
346 |
$333.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
978 |
841 |
$235.63 |
| 73130 |
|
18 |
12 |
$176.40 |
| 73110 |
|
16 |
12 |
$168.21 |
| 94060 |
|
18 |
13 |
$163.22 |
| 36415 |
Collection of venous blood by venipuncture |
2,554 |
2,269 |
$137.00 |
| 94729 |
|
51 |
40 |
$131.36 |
| 73140 |
|
15 |
12 |
$128.41 |
| 94726 |
|
18 |
13 |
$104.21 |
| 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 |
20 |
19 |
$71.68 |
| 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) |
1,547 |
1,293 |
$67.98 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
162 |
122 |
$65.75 |
| 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 |
12 |
12 |
$62.08 |
| 76937 |
|
15 |
13 |
$59.73 |
| 11721 |
|
75 |
62 |
$59.55 |
| 91301 |
|
15 |
12 |
$37.08 |
| 80053 |
Comprehensive metabolic panel |
454 |
402 |
$27.56 |
| 80061 |
Lipid panel |
54 |
49 |
$25.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
63 |
$21.73 |
| 99491 |
Ccm add 20min |
141 |
118 |
$18.77 |
| 99453 |
|
60 |
56 |
$13.03 |
| 99437 |
|
115 |
94 |
$12.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$8.56 |
| 85652 |
|
197 |
182 |
$7.23 |
| 81001 |
|
58 |
54 |
$2.84 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
39 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,381 |
2,054 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
78 |
76 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
290 |
252 |
$0.00 |
| 90686 |
|
58 |
47 |
$0.00 |
| 1123F |
|
207 |
158 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
50 |
48 |
$0.00 |
| 78492 |
|
13 |
13 |
$0.00 |
| 99304 |
|
43 |
35 |
$0.00 |
| 3074F |
|
82 |
76 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
61 |
$0.00 |
| 86140 |
|
25 |
25 |
$0.00 |
| 20610 |
|
50 |
25 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
31 |
24 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
26 |
26 |
$0.00 |
| 0399T |
|
57 |
48 |
$0.00 |
| 76536 |
|
14 |
14 |
$0.00 |
| 1125F |
|
31 |
29 |
$0.00 |
| 78431 |
|
13 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
23 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,202 |
2,645 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,861 |
1,594 |
$0.00 |
| 1160F |
|
2,963 |
2,309 |
$0.00 |
| 1159F |
|
5,777 |
3,914 |
$0.00 |
| G2214 |
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
455 |
433 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
35 |
29 |
$0.00 |
| 3078F |
|
115 |
102 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 90662 |
|
201 |
171 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
44 |
$0.00 |
| 84439 |
|
15 |
14 |
$0.00 |