| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,447 |
19,590 |
$783K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,079 |
11,425 |
$298K |
| 99215 |
Prolong outpt/office vis |
3,614 |
3,481 |
$181K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,091 |
1,085 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
934 |
931 |
$114K |
| Z1034 |
|
1,947 |
1,351 |
$109K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,058 |
923 |
$85K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
881 |
869 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,016 |
2,003 |
$64K |
| 90686 |
|
2,291 |
2,268 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,641 |
$29K |
| 99497 |
|
652 |
652 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
296 |
294 |
$25K |
| 92551 |
|
1,886 |
1,869 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,773 |
3,733 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
241 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
312 |
310 |
$20K |
| 20610 |
|
333 |
293 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
766 |
753 |
$12K |
| 90674 |
|
472 |
468 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
175 |
$9K |
| Z6410 |
|
1,227 |
979 |
$9K |
| 73564 |
|
158 |
149 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
614 |
605 |
$7K |
| 93351 |
|
40 |
40 |
$7K |
| Z6500 |
|
54 |
54 |
$7K |
| 99460 |
|
72 |
72 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
185 |
$6K |
| 0011A |
|
139 |
139 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
80 |
$5K |
| 99173 |
|
1,552 |
1,535 |
$5K |
| 0012A |
|
111 |
111 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
143 |
$4K |
| 85018 |
|
1,607 |
1,547 |
$4K |
| 93224 |
|
57 |
57 |
$4K |
| 90651 |
|
62 |
62 |
$4K |
| Z6400 |
|
155 |
152 |
$3K |
| 99385 |
|
18 |
18 |
$3K |
| 90656 |
|
147 |
147 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
128 |
123 |
$2K |
| 90694 |
|
252 |
252 |
$2K |
| 93000 |
|
184 |
175 |
$2K |
| 97802 |
|
12 |
12 |
$2K |
| J0897 |
Injection, denosumab, 1 mg |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
121 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
64 |
$2K |
| 93320 |
|
40 |
40 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$2K |
| 90670 |
|
126 |
125 |
$2K |
| 11100 |
|
33 |
31 |
$2K |
| 93227 |
|
83 |
83 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
89 |
86 |
$1K |
| 0001A |
|
35 |
35 |
$1K |
| 96127 |
|
273 |
245 |
$1K |
| 80053 |
Comprehensive metabolic panel |
131 |
131 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
80 |
80 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
269 |
243 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
531 |
510 |
$1K |
| 80061 |
Lipid panel |
82 |
82 |
$945.23 |
| J3490 |
Unclassified drugs |
33 |
33 |
$927.88 |
| Z6406 |
|
120 |
118 |
$926.72 |
| 90698 |
|
94 |
93 |
$846.00 |
| Z6304 |
|
121 |
121 |
$829.60 |
| Z6204 |
|
107 |
107 |
$750.08 |
| 76813 |
|
14 |
14 |
$747.96 |
| 0002A |
|
18 |
18 |
$720.00 |
| 83655 |
|
61 |
59 |
$648.43 |
| Z1038 |
|
12 |
12 |
$639.55 |
| 99462 |
|
17 |
12 |
$570.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
227 |
227 |
$567.95 |
| 90744 |
|
60 |
60 |
$560.85 |
| 90734 |
|
50 |
50 |
$551.43 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
121 |
115 |
$547.43 |
| 0031A |
|
13 |
13 |
$520.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
37 |
36 |
$505.66 |
| G9920 |
Screening performed and negative |
16 |
16 |
$464.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$440.95 |
| 90715 |
|
17 |
17 |
$436.73 |
| 90653 |
|
51 |
51 |
$414.40 |
| 90633 |
|
36 |
36 |
$324.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
27 |
$256.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
24 |
24 |
$214.08 |
| 77080 |
|
20 |
20 |
$209.27 |
| 17000 |
|
14 |
14 |
$207.71 |
| 81003 |
|
90 |
83 |
$166.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
116 |
$147.49 |
| 81025 |
|
63 |
63 |
$137.26 |
| 93016 |
|
14 |
14 |
$133.64 |
| 90685 |
|
13 |
13 |
$117.00 |
| G0008 |
Administration of influenza virus vaccine |
473 |
472 |
$109.20 |
| 90662 |
|
15 |
15 |
$96.06 |
| Z6308 |
|
12 |
12 |
$90.84 |
| Z6414 |
|
12 |
12 |
$90.84 |
| Z6208 |
|
12 |
12 |
$90.84 |
| 93018 |
|
14 |
14 |
$89.40 |
| 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) |
21 |
19 |
$54.97 |
| 82962 |
|
15 |
13 |
$44.25 |
| 99000 |
|
12 |
12 |
$42.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
90 |
90 |
$18.09 |
| 81002 |
|
156 |
152 |
$12.16 |
| 3074F |
|
455 |
435 |
$0.02 |
| 3078F |
|
348 |
339 |
$0.02 |
| 3075F |
|
238 |
231 |
$0.01 |
| 3079F |
|
383 |
372 |
$0.00 |
| 3077F |
|
18 |
14 |
$0.00 |