| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,844 |
1,825 |
$47K |
| 90688 |
|
2,221 |
2,182 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,470 |
11,215 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,915 |
9,980 |
$26K |
| G9920 |
Screening performed and negative |
1,185 |
1,182 |
$25K |
| 96151 |
|
1,063 |
1,062 |
$16K |
| 99490 |
Ccm add 20min |
2,488 |
2,480 |
$14K |
| 99215 |
Prolong outpt/office vis |
1,082 |
1,065 |
$11K |
| 91322 |
|
69 |
69 |
$10K |
| 92551 |
|
718 |
711 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,940 |
1,910 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,565 |
2,489 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,377 |
2,002 |
$6K |
| 90480 |
|
170 |
151 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
94 |
$5K |
| 99496 |
|
82 |
80 |
$4K |
| 90686 |
|
219 |
217 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,658 |
1,574 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
42 |
$2K |
| 90658 |
|
144 |
143 |
$2K |
| 93000 |
|
366 |
361 |
$1K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
54 |
54 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$1K |
| 90756 |
|
209 |
209 |
$913.14 |
| 99457 |
|
196 |
196 |
$891.97 |
| 90707 |
|
14 |
14 |
$878.39 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
117 |
$765.77 |
| 0064A |
|
19 |
19 |
$760.00 |
| 92552 |
|
677 |
674 |
$742.22 |
| 85018 |
|
224 |
223 |
$680.13 |
| 0013A |
|
30 |
30 |
$680.00 |
| 99173 |
|
569 |
556 |
$664.53 |
| 99454 |
|
83 |
83 |
$639.36 |
| 81000 |
|
255 |
253 |
$586.55 |
| 0134A |
|
28 |
28 |
$579.60 |
| 0003A |
|
13 |
13 |
$520.00 |
| 0124A |
|
25 |
25 |
$516.14 |
| 99491 |
Ccm add 20min |
82 |
82 |
$503.26 |
| G0008 |
Administration of influenza virus vaccine |
430 |
411 |
$422.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,069 |
1,067 |
$396.25 |
| 99458 |
|
87 |
87 |
$383.10 |
| 99443 |
|
12 |
12 |
$320.35 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
245 |
241 |
$261.37 |
| 90662 |
|
58 |
58 |
$257.49 |
| 93922 |
|
50 |
50 |
$191.52 |
| 88738 |
|
16 |
16 |
$181.56 |
| 36415 |
Collection of venous blood by venipuncture |
1,570 |
1,514 |
$116.90 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
16 |
16 |
$103.76 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
258 |
191 |
$99.89 |
| 85999 |
|
30 |
30 |
$87.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
29 |
$72.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
519 |
512 |
$65.11 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$60.03 |
| 81002 |
|
14 |
14 |
$52.95 |
| 99453 |
|
31 |
31 |
$38.78 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
44 |
44 |
$31.83 |
| 90656 |
|
17 |
17 |
$28.69 |
| 82962 |
|
580 |
564 |
$18.29 |
| 1170F |
|
28 |
28 |
$12.03 |
| 1125F |
|
16 |
16 |
$0.00 |
| 99447 |
|
19 |
18 |
$0.00 |
| 1159F |
|
28 |
28 |
$0.00 |
| 94060 |
|
54 |
54 |
$0.00 |
| 99448 |
|
164 |
162 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| 1160F |
|
28 |
28 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |