| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,343 |
34,062 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,012 |
26,542 |
$805K |
| 95813 |
|
1,873 |
1,854 |
$576K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,201 |
4,148 |
$505K |
| 95713 |
|
666 |
655 |
$351K |
| 99444 |
|
3,999 |
1,050 |
$229K |
| 99215 |
Prolong outpt/office vis |
3,296 |
2,675 |
$115K |
| 95718 |
|
811 |
796 |
$84K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,661 |
4,317 |
$57K |
| 99422 |
|
2,163 |
565 |
$48K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,434 |
7,066 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,720 |
3,979 |
$37K |
| 80061 |
Lipid panel |
6,761 |
6,433 |
$32K |
| 99254 |
|
265 |
264 |
$32K |
| 84439 |
|
6,236 |
5,951 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,823 |
8,417 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,477 |
5,201 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,602 |
5,384 |
$18K |
| 80076 |
|
4,957 |
4,782 |
$15K |
| 80050 |
General health panel |
513 |
503 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
207 |
$13K |
| 82043 |
|
3,836 |
3,673 |
$11K |
| 82607 |
|
1,739 |
1,630 |
$10K |
| 82570 |
|
3,790 |
3,623 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,059 |
647 |
$9K |
| 99349 |
|
723 |
604 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
677 |
323 |
$8K |
| 83721 |
|
5,704 |
5,380 |
$7K |
| 81001 |
|
4,714 |
4,442 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
152 |
38 |
$7K |
| 99490 |
Ccm add 20min |
2,627 |
2,619 |
$6K |
| 99091 |
|
54 |
54 |
$6K |
| 80053 |
Comprehensive metabolic panel |
2,256 |
2,130 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
1,193 |
226 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
408 |
385 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
77 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
126 |
120 |
$3K |
| 84403 |
|
243 |
226 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
154 |
119 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
101 |
89 |
$2K |
| 90756 |
|
263 |
259 |
$2K |
| 99497 |
|
465 |
447 |
$2K |
| 90674 |
|
332 |
316 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
432 |
391 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,163 |
1,032 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 94010 |
|
99 |
94 |
$1K |
| 84153 |
|
238 |
211 |
$1K |
| 97124 |
|
96 |
25 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
18 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
133 |
112 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
140 |
$1K |
| 99350 |
Prolong home eval add 15m |
89 |
76 |
$1K |
| 92250 |
|
49 |
46 |
$997.58 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
172 |
172 |
$936.37 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$871.29 |
| 99223 |
Prolong inpt eval add15 m |
105 |
104 |
$806.91 |
| 99457 |
|
512 |
509 |
$763.04 |
| 87428 |
|
34 |
32 |
$513.72 |
| 90785 |
|
309 |
237 |
$493.92 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
49 |
48 |
$343.02 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
34 |
34 |
$313.85 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$304.81 |
| 93922 |
|
74 |
63 |
$281.56 |
| 84550 |
|
141 |
123 |
$255.50 |
| 95923 |
|
20 |
17 |
$238.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
840 |
724 |
$235.76 |
| 90656 |
|
13 |
12 |
$186.95 |
| 85651 |
|
80 |
74 |
$179.50 |
| 84436 |
|
65 |
60 |
$178.87 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$160.94 |
| 96136 |
|
99 |
98 |
$139.81 |
| 99458 |
|
128 |
126 |
$115.32 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
926 |
824 |
$111.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
16 |
$57.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
563 |
505 |
$36.69 |
| 36415 |
Collection of venous blood by venipuncture |
7,890 |
7,439 |
$29.99 |
| 94760 |
|
920 |
763 |
$26.97 |
| 84100 |
|
82 |
77 |
$20.35 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
71 |
65 |
$18.13 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,102 |
1,042 |
$0.00 |
| 1160F |
|
1,402 |
1,251 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
94 |
92 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
337 |
319 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
168 |
165 |
$0.00 |
| 1159F |
|
1,195 |
1,059 |
$0.00 |
| 3078F |
|
776 |
712 |
$0.00 |
| 1158F |
|
32 |
31 |
$0.00 |
| 0518F |
|
114 |
105 |
$0.00 |
| 3288F |
|
198 |
188 |
$0.00 |
| 1090F |
|
14 |
14 |
$0.00 |
| 4040F |
|
86 |
82 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
261 |
249 |
$0.00 |
| 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 |
73 |
72 |
$0.00 |
| 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) |
32 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
37 |
37 |
$0.00 |
| 3077F |
|
53 |
51 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
46 |
45 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
24 |
$0.00 |
| 4004F |
|
30 |
29 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |
| 1111F |
|
129 |
124 |
$0.00 |
| 1101F |
|
658 |
641 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
371 |
359 |
$0.00 |
| 3044F |
|
956 |
924 |
$0.00 |
| 1170F |
|
288 |
267 |
$0.00 |
| 1126F |
|
737 |
662 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
630 |
625 |
$0.00 |
| 1125F |
|
1,080 |
971 |
$0.00 |
| 3074F |
|
806 |
737 |
$0.00 |
| 4010F |
|
12 |
12 |
$0.00 |
| 3008F |
|
776 |
669 |
$0.00 |
| 1157F |
|
32 |
31 |
$0.00 |
| 1036F |
|
306 |
294 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
337 |
320 |
$0.00 |
| 99406 |
|
44 |
43 |
$0.00 |
| 99000 |
|
15 |
13 |
$0.00 |
| 99439 |
|
209 |
165 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
381 |
375 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
114 |
101 |
$0.00 |
| 3079F |
|
199 |
194 |
$0.00 |
| 3075F |
|
130 |
122 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
14 |
14 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
138 |
137 |
$0.00 |
| 96156 |
|
13 |
12 |
$0.00 |
| 3017F |
|
32 |
30 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 82040 |
|
27 |
25 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
55 |
55 |
$0.00 |
| G8866 |
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) |
14 |
14 |
$0.00 |
| 90887 |
|
27 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
17 |
$0.00 |