| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99345 |
Prolong home eval add 15m |
77,034 |
76,922 |
$668.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70,020 |
69,822 |
$21.30 |
| 96127 |
|
80,133 |
79,908 |
$10.63 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
99,898 |
99,583 |
$0.02 |
| 1159F |
|
99,897 |
99,580 |
$0.02 |
| 1160F |
|
100,094 |
99,779 |
$0.02 |
| 1126F |
|
50,230 |
50,089 |
$0.02 |
| 3016F |
|
14,428 |
14,338 |
$0.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
215 |
204 |
$0.00 |
| 1158F |
|
2,474 |
2,468 |
$0.00 |
| 80076 |
|
64 |
64 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
7,099 |
7,068 |
$0.00 |
| 99501 |
|
6,324 |
6,310 |
$0.00 |
| 85610 |
|
99 |
91 |
$0.00 |
| 85014 |
|
215 |
215 |
$0.00 |
| 3046F |
|
925 |
913 |
$0.00 |
| 2022F |
|
1,880 |
1,863 |
$0.00 |
| 92081 |
|
154 |
154 |
$0.00 |
| 85049 |
|
58 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
320 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
417 |
413 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
217 |
208 |
$0.00 |
| 83026 |
|
28 |
28 |
$0.00 |
| 3077F |
|
4,829 |
4,797 |
$0.00 |
| 3078F |
|
22,618 |
22,531 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
111 |
111 |
$0.00 |
| 86038 |
|
67 |
65 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
363 |
363 |
$0.00 |
| 83037 |
|
6,269 |
6,212 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
2,495 |
418 |
$0.00 |
| 82570 |
|
211 |
211 |
$0.00 |
| 99382 |
|
1,003 |
1,002 |
$0.00 |
| 3045F |
|
665 |
651 |
$0.00 |
| 97803 |
|
46 |
46 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
226 |
226 |
$0.00 |
| 99401 |
|
134 |
119 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27 |
27 |
$0.00 |
| S5111 |
Home care training, family; per session |
1,914 |
337 |
$0.00 |
| 99188 |
|
1,011 |
1,009 |
$0.00 |
| 3725F |
|
112 |
106 |
$0.00 |
| 84403 |
|
15 |
15 |
$0.00 |
| 3051F |
|
669 |
665 |
$0.00 |
| 82947 |
|
32 |
32 |
$0.00 |
| 59425 |
|
51 |
33 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
150 |
$0.00 |
| 80061 |
Lipid panel |
1,031 |
1,029 |
$0.00 |
| 99173 |
|
2,400 |
2,396 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
193 |
193 |
$0.00 |
| 87338 |
|
33 |
33 |
$0.00 |
| 83970 |
|
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
75 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
148 |
145 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
19 |
19 |
$0.00 |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
16 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
22 |
$0.00 |
| 99408 |
|
523 |
522 |
$0.00 |
| 97039 |
|
87 |
40 |
$0.00 |
| 83540 |
|
145 |
143 |
$0.00 |
| 84156 |
|
349 |
337 |
$0.00 |
| 86235 |
|
25 |
25 |
$0.00 |
| 84702 |
|
64 |
63 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
151 |
140 |
$0.00 |
| 99347 |
|
53 |
53 |
$0.00 |
| 83721 |
|
35 |
35 |
$0.00 |
| 92015 |
Determination of refractive state |
104 |
104 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
743 |
107 |
$0.00 |
| 84146 |
|
17 |
17 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
13 |
13 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
33 |
33 |
$0.00 |
| 81003 |
|
118 |
118 |
$0.00 |
| 82248 |
|
48 |
47 |
$0.00 |
| 83655 |
|
57 |
57 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
56 |
56 |
$0.00 |
| 82274 |
|
78 |
78 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
343 |
302 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| S9999 |
Sales tax |
17 |
17 |
$0.00 |
| 84100 |
|
18 |
18 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
72 |
72 |
$0.00 |
| 86039 |
|
24 |
22 |
$0.00 |
| 80074 |
|
61 |
60 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
13 |
$0.00 |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
39 |
37 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
126 |
$0.00 |
| 82785 |
|
19 |
19 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
116 |
116 |
$0.00 |
| 84439 |
|
172 |
171 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
1,407 |
242 |
$0.00 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
14 |
14 |
$0.00 |
| 80299 |
|
39 |
37 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
112 |
111 |
$0.00 |
| 87186 |
|
26 |
26 |
$0.00 |
| 82977 |
|
35 |
35 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
25 |
$0.00 |
| 86431 |
|
58 |
57 |
$0.00 |
| 90655 |
|
28 |
28 |
$0.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
33 |
31 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
12 |
12 |
$0.00 |
| 85007 |
|
29 |
27 |
$0.00 |
| 98968 |
|
16 |
16 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
37 |
37 |
$0.00 |
| 86200 |
|
23 |
23 |
$0.00 |
| 92552 |
|
49 |
49 |
$0.00 |
| E0601 |
Continuous positive airway pressure (cpap) device |
12 |
12 |
$0.00 |
| 84460 |
|
14 |
14 |
$0.00 |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
20 |
19 |
$0.00 |
| 86003 |
|
22 |
22 |
$0.00 |
| 84481 |
|
44 |
43 |
$0.00 |
| 76642 |
|
18 |
17 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
25 |
13 |
$0.00 |
| 81002 |
|
15 |
15 |
$0.00 |
| 84550 |
|
93 |
92 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 85045 |
|
14 |
13 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 86696 |
|
22 |
22 |
$0.00 |
| 86480 |
|
15 |
14 |
$0.00 |
| 83516 |
|
19 |
19 |
$0.00 |
| 86708 |
|
22 |
22 |
$0.00 |
| 3044F |
|
3,261 |
3,231 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
221 |
215 |
$0.00 |
| 99384 |
|
2,610 |
2,610 |
$0.00 |
| 92551 |
|
472 |
471 |
$0.00 |
| 1111F |
|
5,969 |
5,933 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
6,274 |
6,211 |
$0.00 |
| 99385 |
|
175 |
175 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,878 |
447 |
$0.00 |
| 96161 |
|
11,200 |
11,167 |
$0.00 |
| 1125F |
|
12,152 |
12,098 |
$0.00 |
| 85018 |
|
206 |
205 |
$0.00 |
| 3079F |
|
8,224 |
8,160 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,240 |
1,191 |
$0.00 |
| 3074F |
|
23,204 |
23,108 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
66 |
65 |
$0.00 |
| 87147 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,061 |
1,013 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,485 |
2,319 |
$0.00 |
| 3060F |
|
414 |
409 |
$0.00 |
| 86376 |
|
26 |
26 |
$0.00 |
| 84479 |
|
65 |
65 |
$0.00 |
| 1170F |
|
2,476 |
2,469 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
691 |
690 |
$0.00 |
| 36416 |
|
6,270 |
6,212 |
$0.00 |
| 92499 |
|
97 |
97 |
$0.00 |
| 82746 |
|
89 |
86 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
256 |
255 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
9,852 |
9,830 |
$0.00 |
| 3075F |
|
4,814 |
4,781 |
$0.00 |
| 81000 |
|
322 |
322 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,297 |
1,264 |
$0.00 |
| 99383 |
|
2,840 |
2,839 |
$0.00 |
| 2023F |
|
2,117 |
2,107 |
$0.00 |
| 86140 |
|
66 |
65 |
$0.00 |
| 99344 |
|
2,582 |
2,537 |
$0.00 |
| 86580 |
|
57 |
57 |
$0.00 |
| 3061F |
|
2,278 |
2,244 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
53,850 |
32,107 |
$0.00 |
| 3351F |
|
223 |
196 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
499 |
497 |
$0.00 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17 |
17 |
$0.00 |
| 4010F |
|
1,195 |
1,194 |
$0.00 |
| 3008F |
|
153 |
145 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
15 |
$0.00 |
| 82044 |
|
2,346 |
2,341 |
$0.00 |
| 84436 |
|
97 |
95 |
$0.00 |
| 3080F |
|
1,937 |
1,926 |
$0.00 |
| 82945 |
|
2,690 |
2,676 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
25 |
25 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
261 |
213 |
$0.00 |
| 85730 |
|
74 |
73 |
$0.00 |
| 86225 |
|
21 |
21 |
$0.00 |
| 84480 |
|
57 |
55 |
$0.00 |
| 81001 |
|
588 |
579 |
$0.00 |
| 83002 |
|
13 |
13 |
$0.00 |
| A4335 |
Incontinence supply; miscellaneous |
13 |
13 |
$0.00 |
| 99381 |
|
178 |
177 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
44 |
42 |
$0.00 |
| 87340 |
|
55 |
55 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
196 |
$0.00 |
| 83550 |
|
103 |
101 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
983 |
981 |
$0.00 |
| 3052F |
|
384 |
380 |
$0.00 |
| 86593 |
|
18 |
18 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
825 |
821 |
$0.00 |
| 86695 |
|
22 |
22 |
$0.00 |
| 86706 |
|
33 |
33 |
$0.00 |
| 86803 |
|
98 |
97 |
$0.00 |
| 92002 |
|
34 |
34 |
$0.00 |
| 87081 |
|
37 |
37 |
$0.00 |
| 82378 |
|
17 |
16 |
$0.00 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
17 |
17 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
165 |
148 |
$0.00 |
| 92560 |
|
37 |
37 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
116 |
115 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
406 |
402 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
112 |
105 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
335 |
332 |
$0.00 |
| 86592 |
|
300 |
299 |
$0.00 |
| 86160 |
|
23 |
23 |
$0.00 |
| 80081 |
|
78 |
78 |
$0.00 |
| 82550 |
|
22 |
22 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
18 |
$0.00 |
| 86317 |
|
14 |
14 |
$0.00 |
| 82728 |
|
87 |
85 |
$0.00 |
| 86780 |
|
17 |
16 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 94760 |
|
37 |
32 |
$0.00 |
| 82950 |
|
45 |
45 |
$0.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
23 |
20 |
$0.00 |
| 85027 |
|
230 |
228 |
$0.00 |
| 87536 |
|
21 |
21 |
$0.00 |
| 82607 |
|
104 |
102 |
$0.00 |
| 83001 |
|
20 |
20 |
$0.00 |
| 86361 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
67 |
$0.00 |
| 90650 |
|
12 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
22 |
21 |
$0.00 |
| 86255 |
|
21 |
21 |
$0.00 |
| 87088 |
|
150 |
148 |
$0.00 |
| 84153 |
|
99 |
97 |
$0.00 |
| 87070 |
|
64 |
64 |
$0.00 |
| 86300 |
|
14 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
23 |
23 |
$0.00 |
| 85652 |
|
123 |
122 |
$0.00 |
| 82043 |
|
196 |
196 |
$0.00 |
| 83735 |
|
25 |
23 |
$0.00 |
| 87077 |
|
32 |
32 |
$0.00 |
| 86704 |
|
19 |
19 |
$0.00 |
| 83615 |
|
19 |
19 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
22 |
$0.00 |
| K0001 |
Standard wheelchair |
18 |
17 |
$0.00 |
| 88142 |
|
16 |
16 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |