| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,702 |
33,278 |
$932K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,945 |
18,851 |
$623K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18,817 |
15,259 |
$155K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,011 |
916 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,495 |
2,998 |
$14K |
| 20611 |
|
386 |
308 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
382 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
7,253 |
6,243 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
759 |
681 |
$7K |
| 20552 |
|
335 |
266 |
$6K |
| 99215 |
Prolong outpt/office vis |
239 |
185 |
$6K |
| 90688 |
|
835 |
730 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,162 |
3,618 |
$5K |
| 80305 |
|
1,298 |
1,123 |
$5K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
306 |
194 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,967 |
3,305 |
$4K |
| 99490 |
Ccm add 20min |
672 |
611 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,527 |
8,138 |
$3K |
| 99354 |
|
143 |
114 |
$3K |
| 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 |
314 |
309 |
$3K |
| 76942 |
|
60 |
50 |
$2K |
| 81001 |
|
1,724 |
1,472 |
$2K |
| 82947 |
|
391 |
354 |
$2K |
| 82565 |
|
255 |
242 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
859 |
776 |
$2K |
| 80061 |
Lipid panel |
886 |
687 |
$2K |
| 80051 |
|
197 |
185 |
$1K |
| 84520 |
|
255 |
242 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
18 |
13 |
$1K |
| 80053 |
Comprehensive metabolic panel |
1,479 |
1,264 |
$1K |
| 99408 |
|
59 |
49 |
$1K |
| 92567 |
|
63 |
58 |
$818.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,224 |
1,119 |
$666.09 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$642.77 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
640 |
407 |
$631.90 |
| 84439 |
|
367 |
290 |
$495.87 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
43 |
39 |
$445.86 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
127 |
97 |
$429.78 |
| 82607 |
|
74 |
45 |
$273.22 |
| 84443 |
Thyroid stimulating hormone (TSH) |
590 |
492 |
$229.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
266 |
204 |
$202.61 |
| 82746 |
|
45 |
27 |
$175.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
230 |
199 |
$154.70 |
| 81025 |
|
29 |
26 |
$148.88 |
| 99497 |
|
90 |
63 |
$144.23 |
| 99173 |
|
29 |
26 |
$132.12 |
| 96127 |
|
54 |
41 |
$131.76 |
| 99406 |
|
72 |
39 |
$125.57 |
| 96160 |
|
404 |
296 |
$108.74 |
| 81002 |
|
91 |
62 |
$105.89 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
172 |
106 |
$105.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$64.81 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
69 |
36 |
$37.02 |
| 36416 |
|
17 |
13 |
$27.51 |
| 1100F |
|
50 |
29 |
$26.95 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
17 |
13 |
$8.18 |
| 1101F |
|
30 |
29 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3725F |
|
33 |
29 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |
| 90662 |
|
48 |
38 |
$0.00 |