| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,497 |
11,047 |
$314K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12,265 |
7,899 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,223 |
3,547 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,878 |
1,473 |
$45K |
| T1015 |
Clinic visit/encounter, all-inclusive |
210 |
194 |
$9K |
| 99490 |
Ccm add 20min |
2,809 |
2,102 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
183 |
49 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
31 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
488 |
381 |
$3K |
| 82962 |
|
1,890 |
1,457 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
54 |
37 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$1K |
| 82947 |
|
947 |
768 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
405 |
334 |
$871.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
42 |
$537.97 |
| G0008 |
Administration of influenza virus vaccine |
99 |
62 |
$408.49 |
| 99305 |
|
25 |
24 |
$343.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
51 |
$319.28 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
24 |
$295.01 |
| 90756 |
|
77 |
54 |
$266.53 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
26 |
$257.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
15 |
$251.46 |
| 1125F |
|
6,021 |
4,888 |
$61.74 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
16 |
15 |
$50.31 |
| 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 |
236 |
112 |
$40.78 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
37 |
$40.00 |
| 90688 |
|
37 |
32 |
$16.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
15 |
$11.70 |
| 81002 |
|
15 |
12 |
$10.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
344 |
271 |
$6.27 |
| 0518F |
|
129 |
115 |
$6.18 |
| 1101F |
|
27 |
25 |
$2.31 |
| 1159F |
|
5,068 |
4,166 |
$0.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
30 |
26 |
$0.04 |
| 1160F |
|
4,494 |
3,701 |
$0.03 |
| 1170F |
|
1,950 |
1,671 |
$0.01 |
| 4004F |
|
82 |
77 |
$0.00 |
| 3078F |
|
142 |
104 |
$0.00 |
| 3288F |
|
129 |
115 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
20 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
15 |
12 |
$0.00 |
| 1157F |
|
55 |
50 |
$0.00 |
| 3074F |
|
51 |
44 |
$0.00 |
| 3066F |
|
891 |
659 |
$0.00 |
| 3044F |
|
109 |
86 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |