| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,366 |
25,273 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,824 |
12,091 |
$436K |
| 99490 |
Ccm add 20min |
15,439 |
14,457 |
$400K |
| 99350 |
Prolong home eval add 15m |
1,787 |
1,405 |
$99K |
| 99439 |
|
3,446 |
3,257 |
$89K |
| 99349 |
|
1,726 |
1,061 |
$44K |
| 99442 |
|
643 |
586 |
$33K |
| 99497 |
|
623 |
533 |
$26K |
| 99401 |
|
1,435 |
1,238 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,637 |
1,343 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
267 |
$24K |
| 99407 |
|
926 |
816 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
161 |
151 |
$12K |
| 99457 |
|
697 |
464 |
$12K |
| 92587 |
|
570 |
501 |
$11K |
| 99454 |
|
531 |
339 |
$10K |
| 94010 |
|
376 |
340 |
$7K |
| 99354 |
|
499 |
322 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
82 |
$6K |
| 99408 |
|
165 |
149 |
$6K |
| 99443 |
|
99 |
92 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
383 |
354 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
146 |
133 |
$4K |
| 76981 |
|
71 |
66 |
$4K |
| 99344 |
|
36 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
44 |
$3K |
| 99441 |
|
87 |
72 |
$3K |
| 99417 |
Prolong home eval add 15m |
217 |
186 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
220 |
194 |
$3K |
| 99406 |
|
571 |
468 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
95 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
27 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
14 |
$2K |
| 96103 |
|
129 |
115 |
$2K |
| 96127 |
|
536 |
477 |
$2K |
| 99348 |
|
41 |
25 |
$1K |
| 99345 |
Prolong home eval add 15m |
26 |
12 |
$1K |
| 90836 |
|
35 |
26 |
$1K |
| 82044 |
|
242 |
212 |
$906.08 |
| 93000 |
|
57 |
50 |
$777.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
17 |
$758.16 |
| 73630 |
|
62 |
40 |
$730.57 |
| G0318 |
Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) |
369 |
240 |
$724.23 |
| 82570 |
|
192 |
174 |
$646.42 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
196 |
175 |
$604.24 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
110 |
100 |
$522.48 |
| 81003 |
|
740 |
658 |
$484.70 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
604 |
566 |
$471.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
25 |
$469.49 |
| 96146 |
|
236 |
217 |
$341.67 |
| 81002 |
|
96 |
88 |
$197.14 |
| 99453 |
|
43 |
23 |
$174.25 |
| 11721 |
|
24 |
18 |
$156.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
28 |
$117.76 |
| 99305 |
|
43 |
42 |
$65.66 |
| 1125F |
|
8,261 |
7,192 |
$21.83 |
| 3008F |
|
11,564 |
10,227 |
$21.41 |
| 3044F |
|
266 |
234 |
$20.57 |
| 1126F |
|
3,417 |
3,087 |
$11.20 |
| 3074F |
|
2,450 |
2,151 |
$6.75 |
| 3078F |
|
2,419 |
2,159 |
$6.41 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,720 |
9,846 |
$3.93 |
| 3079F |
|
1,214 |
1,078 |
$2.68 |
| 3077F |
|
1,162 |
1,043 |
$1.63 |
| 3075F |
|
440 |
401 |
$0.92 |
| 3080F |
|
502 |
458 |
$0.43 |
| 3048F |
|
78 |
65 |
$0.08 |
| 1034F |
|
264 |
244 |
$0.06 |
| 1160F |
|
246 |
220 |
$0.02 |
| 1159F |
|
155 |
139 |
$0.02 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
786 |
658 |
$0.00 |
| 2010F |
|
213 |
168 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
53 |
48 |
$0.00 |
| 4000F |
|
492 |
414 |
$0.00 |
| 1123F |
|
42 |
41 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
112 |
107 |
$0.00 |
| 2001F |
|
46 |
36 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
25 |
$0.00 |
| G2204 |
Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period |
14 |
12 |
$0.00 |
| G8970 |
No risk factors or one moderate risk factor for thromboembolism |
14 |
13 |
$0.00 |
| G8924 |
Spirometry results documented (fev1/fvc < 70%) |
13 |
13 |
$0.00 |
| 3049F |
|
18 |
17 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
13 |
$0.00 |
| 3089F |
|
144 |
123 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
59 |
59 |
$0.00 |
| 888888 |
|
388 |
355 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
225 |
195 |
$0.00 |
| 3725F |
|
243 |
203 |
$0.00 |
| 3023F |
|
40 |
38 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
407 |
362 |
$0.00 |
| 3046F |
|
45 |
43 |
$0.00 |
| G9928 |
Fda-approved anticoagulant not prescribed, reason not given |
14 |
13 |
$0.00 |
| 4025F |
|
44 |
42 |
$0.00 |
| 3045F |
|
45 |
43 |
$0.00 |
| 4013F |
|
14 |
13 |
$0.00 |
| 3050F |
|
17 |
15 |
$0.00 |
| 1124F |
|
26 |
24 |
$0.00 |