| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,893 |
30,384 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,815 |
18,060 |
$1.09M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,790 |
1,662 |
$112K |
| 20610 |
|
3,049 |
2,491 |
$100K |
| 93923 |
|
1,236 |
629 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,331 |
1,142 |
$90K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
820 |
769 |
$70K |
| 93922 |
|
941 |
834 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,202 |
1,155 |
$48K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
252 |
191 |
$44K |
| 95924 |
|
613 |
576 |
$40K |
| 93000 |
|
3,165 |
2,831 |
$38K |
| 20552 |
|
1,088 |
942 |
$29K |
| 99458 |
|
1,126 |
1,062 |
$29K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
436 |
407 |
$29K |
| 95923 |
|
744 |
689 |
$29K |
| 90674 |
|
1,034 |
924 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,144 |
942 |
$24K |
| 94060 |
|
1,309 |
1,104 |
$24K |
| 82962 |
|
12,285 |
10,430 |
$22K |
| 99397 |
|
334 |
304 |
$21K |
| 99490 |
Ccm add 20min |
3,564 |
3,206 |
$19K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,323 |
3,582 |
$18K |
| 99457 |
|
1,309 |
1,212 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
327 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,460 |
2,103 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
264 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,142 |
998 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,049 |
1,895 |
$11K |
| 96118 |
|
315 |
225 |
$11K |
| 99487 |
Ccm add 20min |
753 |
658 |
$10K |
| 99439 |
|
868 |
804 |
$8K |
| 96132 |
|
166 |
139 |
$8K |
| 96127 |
|
1,669 |
1,392 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
838 |
702 |
$6K |
| 80305 |
|
1,136 |
952 |
$5K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
373 |
265 |
$4K |
| 93040 |
|
629 |
590 |
$4K |
| 90656 |
|
278 |
232 |
$4K |
| 95921 |
|
109 |
99 |
$3K |
| 99050 |
|
258 |
235 |
$3K |
| 83014 |
|
444 |
408 |
$2K |
| 81003 |
|
948 |
865 |
$1K |
| 99401 |
|
239 |
210 |
$1K |
| 92250 |
|
58 |
54 |
$1K |
| 99406 |
|
153 |
130 |
$1K |
| 94010 |
|
90 |
77 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
68 |
66 |
$748.52 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$728.69 |
| 99489 |
Ccm add 20min |
137 |
124 |
$679.92 |
| 99201 |
|
30 |
28 |
$629.06 |
| 98976 |
|
24 |
23 |
$601.57 |
| 98977 |
|
24 |
23 |
$601.57 |
| 80061 |
Lipid panel |
66 |
65 |
$537.68 |
| 81007 |
|
33 |
31 |
$481.92 |
| G0008 |
Administration of influenza virus vaccine |
154 |
139 |
$385.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
38 |
$291.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
381 |
302 |
$161.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,509 |
2,152 |
$156.96 |
| 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)). |
20 |
20 |
$145.84 |
| 82270 |
|
15 |
12 |
$31.10 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,461 |
1,166 |
$8.48 |
| 3044F |
|
1,775 |
1,403 |
$0.59 |
| 3078F |
|
19,663 |
16,772 |
$0.56 |
| 3074F |
|
22,478 |
18,926 |
$0.55 |
| 3051F |
|
312 |
265 |
$0.27 |
| 3077F |
|
6,134 |
5,345 |
$0.25 |
| 3079F |
|
10,970 |
9,682 |
$0.25 |
| 3075F |
|
6,210 |
5,564 |
$0.22 |
| 3080F |
|
3,995 |
3,527 |
$0.21 |
| 3052F |
|
31 |
28 |
$0.05 |
| 3046F |
|
72 |
54 |
$0.04 |
| 3050F |
|
826 |
640 |
$0.00 |
| 1160F |
|
4,519 |
3,772 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,524 |
1,200 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
24,255 |
19,807 |
$0.00 |
| G9510 |
Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 |
991 |
776 |
$0.00 |
| 1159F |
|
5,196 |
4,272 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
566 |
438 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
347 |
270 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
33 |
31 |
$0.00 |
| 2022F |
|
56 |
52 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
494 |
434 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,241 |
8,405 |
$0.00 |
| 1125F |
|
274 |
220 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,348 |
1,789 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
17 |
14 |
$0.00 |
| 3061F |
|
809 |
628 |
$0.00 |
| 3048F |
|
2,392 |
1,858 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,887 |
1,476 |
$0.00 |
| 3049F |
|
1,220 |
970 |
$0.00 |
| 1034F |
|
26 |
25 |
$0.00 |
| 4037F |
|
18 |
16 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |