| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,791 |
7,496 |
$31K |
| 99490 |
Ccm add 20min |
4,187 |
4,166 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,363 |
7,817 |
$22K |
| 99487 |
Ccm add 20min |
970 |
966 |
$22K |
| 99497 |
|
1,356 |
1,336 |
$8K |
| G9920 |
Screening performed and negative |
275 |
275 |
$6K |
| 99489 |
Ccm add 20min |
358 |
358 |
$6K |
| 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 |
670 |
670 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,288 |
3,995 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
144 |
130 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
575 |
518 |
$3K |
| 99483 |
Prolong outpt/office vis |
85 |
85 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
395 |
372 |
$3K |
| 99454 |
|
232 |
232 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
829 |
823 |
$2K |
| 90686 |
|
159 |
158 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
596 |
527 |
$2K |
| 96130 |
|
194 |
114 |
$2K |
| 99457 |
|
155 |
155 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,033 |
1,030 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,702 |
3,684 |
$1K |
| 96151 |
|
788 |
787 |
$878.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$816.13 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,724 |
1,721 |
$801.24 |
| 99385 |
|
164 |
164 |
$783.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
137 |
136 |
$774.63 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,628 |
1,625 |
$745.42 |
| 90688 |
|
94 |
94 |
$650.24 |
| 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)). |
118 |
118 |
$529.31 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,666 |
3,646 |
$446.36 |
| 99407 |
|
132 |
126 |
$433.15 |
| 99350 |
Prolong home eval add 15m |
152 |
146 |
$430.72 |
| 99349 |
|
239 |
221 |
$430.05 |
| 86328 |
|
112 |
70 |
$386.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
151 |
$308.73 |
| 90662 |
|
122 |
121 |
$304.61 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$296.91 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
13 |
$241.36 |
| G0008 |
Administration of influenza virus vaccine |
176 |
176 |
$194.68 |
| 96150 |
|
332 |
332 |
$177.88 |
| 99215 |
Prolong outpt/office vis |
68 |
66 |
$157.74 |
| 99406 |
|
220 |
213 |
$145.45 |
| 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 |
26 |
26 |
$136.20 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
377 |
353 |
$106.79 |
| 99439 |
|
147 |
147 |
$105.63 |
| 96156 |
|
1,341 |
1,330 |
$103.91 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
377 |
351 |
$94.99 |
| 96161 |
|
1,875 |
1,865 |
$79.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
46 |
$55.64 |
| 99453 |
|
13 |
12 |
$46.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
121 |
$34.98 |
| 81003 |
|
73 |
72 |
$29.10 |
| 86580 |
|
52 |
52 |
$12.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,187 |
2,183 |
$11.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,740 |
2,734 |
$5.43 |
| 36415 |
Collection of venous blood by venipuncture |
1,297 |
1,274 |
$3.60 |
| 96160 |
|
459 |
459 |
$0.64 |
| 1170F |
|
2,846 |
2,826 |
$0.22 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
523 |
443 |
$0.20 |
| 1160F |
|
2,580 |
2,572 |
$0.18 |
| 1159F |
|
2,579 |
2,571 |
$0.18 |
| 1111F |
|
2,620 |
2,570 |
$0.14 |
| 1158F |
|
1,442 |
1,440 |
$0.10 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
227 |
193 |
$0.10 |
| 82947 |
|
15 |
15 |
$0.10 |
| 3074F |
|
2,672 |
2,614 |
$0.08 |
| 3078F |
|
2,209 |
2,167 |
$0.06 |
| 1123F |
|
82 |
77 |
$0.04 |
| 1125F |
|
988 |
986 |
$0.04 |
| 1036F |
|
746 |
631 |
$0.04 |
| 1126F |
|
1,520 |
1,516 |
$0.04 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,414 |
1,412 |
$0.04 |
| 4004F |
|
34 |
28 |
$0.00 |
| 3077F |
|
321 |
311 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
259 |
259 |
$0.00 |
| 3288F |
|
16 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 99348 |
|
61 |
60 |
$0.00 |
| 4040F |
|
15 |
15 |
$0.00 |
| 3008F |
|
254 |
253 |
$0.00 |
| 3079F |
|
1,051 |
1,030 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
1,447 |
1,443 |
$0.00 |
| 3061F |
|
849 |
848 |
$0.00 |
| 3075F |
|
466 |
461 |
$0.00 |
| 3080F |
|
167 |
160 |
$0.00 |
| 99386 |
|
25 |
25 |
$0.00 |
| 1101F |
|
32 |
30 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
44 |
44 |
$0.00 |