| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,467 |
47,777 |
$2.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,022 |
6,461 |
$432K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,200 |
5,661 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,585 |
12,641 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,725 |
6,417 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,215 |
3,079 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,646 |
9,375 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
680 |
645 |
$55K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
218 |
216 |
$45K |
| Q3014 |
Telehealth originating site facility fee |
3,719 |
3,497 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,886 |
894 |
$39K |
| 99310 |
Prolong nursin fac eval 15m |
1,356 |
1,279 |
$35K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,980 |
2,689 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
817 |
490 |
$23K |
| 80053 |
Comprehensive metabolic panel |
3,642 |
3,551 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
658 |
637 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
442 |
424 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
925 |
845 |
$11K |
| 80061 |
Lipid panel |
1,358 |
1,326 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
103 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
76 |
$6K |
| 81003 |
|
2,764 |
2,601 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
826 |
803 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
282 |
272 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
78 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,388 |
2,218 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,110 |
1,058 |
$3K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
172 |
164 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
139 |
98 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 90674 |
|
166 |
163 |
$2K |
| 99497 |
|
177 |
131 |
$1K |
| 87807 |
|
117 |
110 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
67 |
66 |
$1K |
| 86756 |
|
63 |
60 |
$992.00 |
| 87428 |
|
18 |
18 |
$925.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$910.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
123 |
117 |
$904.71 |
| 80305 |
|
122 |
117 |
$889.95 |
| 90656 |
|
46 |
45 |
$786.60 |
| 86308 |
|
135 |
130 |
$737.28 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25 |
25 |
$391.09 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
25 |
$352.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,484 |
1,395 |
$326.43 |
| 84436 |
|
73 |
73 |
$322.00 |
| 83655 |
|
16 |
13 |
$180.00 |
| 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 |
15 |
15 |
$92.88 |
| 84703 |
|
13 |
13 |
$70.60 |
| 82948 |
|
41 |
40 |
$68.00 |
| 81025 |
|
21 |
21 |
$63.00 |
| G0180 |
Physician or allowed practitioner 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 |
14 |
13 |
$57.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
54 |
$40.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
51 |
$40.00 |
| 99490 |
Ccm add 20min |
15 |
15 |
$20.72 |
| G8421 |
Bmi not documented and no reason is given |
258 |
247 |
$0.00 |
| 90756 |
|
68 |
67 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
30 |
30 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
30 |
$0.00 |
| 3078F |
|
48 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
59 |
56 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
86 |
78 |
$0.00 |
| 99406 |
|
1,295 |
1,171 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
30 |
30 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
537 |
487 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,130 |
1,944 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,531 |
3,216 |
$0.00 |
| 3074F |
|
50 |
45 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
324 |
319 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
162 |
159 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
53 |
$0.00 |
| 99000 |
|
50 |
49 |
$0.00 |