| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99222 |
Initial hospital care, per day, moderate complexity |
521 |
504 |
$188K |
| 99221 |
|
378 |
366 |
$161K |
| 99223 |
Prolong inpt eval add15 m |
1,381 |
1,350 |
$144K |
| 99233 |
Prolong inpt eval add15 m |
2,584 |
1,043 |
$134K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
342 |
340 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,671 |
7,475 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
864 |
432 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,105 |
22,087 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
53 |
53 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
316 |
314 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,281 |
1,260 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
237 |
$9K |
| 93015 |
|
112 |
112 |
$8K |
| J2785 |
Injection, regadenoson, 0.1 mg |
40 |
40 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
136 |
31 |
$7K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
40 |
40 |
$7K |
| 47562 |
|
12 |
12 |
$5K |
| 93000 |
|
247 |
246 |
$5K |
| 90715 |
|
63 |
63 |
$2K |
| 90674 |
|
113 |
113 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
388 |
376 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
33 |
32 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$956.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,213 |
2,104 |
$719.54 |
| 99442 |
|
747 |
724 |
$613.84 |
| 1126F |
|
19,639 |
18,776 |
$519.23 |
| 99443 |
|
93 |
93 |
$275.74 |
| 90756 |
|
15 |
15 |
$186.62 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
108 |
100 |
$166.94 |
| G9920 |
Screening performed and negative |
2,539 |
2,530 |
$143.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,663 |
1,659 |
$127.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
857 |
762 |
$106.92 |
| 82947 |
|
1,060 |
1,044 |
$49.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,453 |
4,435 |
$44.05 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
529 |
529 |
$29.38 |
| 85610 |
|
733 |
522 |
$20.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
192 |
$13.26 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
44 |
$11.96 |
| 92551 |
|
248 |
245 |
$11.02 |
| 93793 |
|
719 |
515 |
$10.42 |
| 88141 |
|
192 |
192 |
$10.42 |
| 85018 |
|
14 |
14 |
$2.05 |
| 1160F |
|
35,363 |
33,259 |
$0.00 |
| 1159F |
|
35,207 |
33,070 |
$0.00 |
| 3725F |
|
1,427 |
1,422 |
$0.00 |
| 3077F |
|
3,444 |
3,309 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
202 |
132 |
$0.00 |
| 99499 |
|
3,706 |
3,620 |
$0.00 |
| 3078F |
|
15,379 |
14,826 |
$0.00 |
| 99071 |
|
68 |
67 |
$0.00 |
| 0521F |
|
5,147 |
4,918 |
$0.00 |
| 4013F |
|
42 |
38 |
$0.00 |
| 4004F |
|
3,540 |
3,404 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
215 |
214 |
$0.00 |
| 1158F |
|
1,319 |
1,317 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
27 |
$0.00 |
| 99173 |
|
139 |
139 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
93 |
$0.00 |
| 96160 |
|
64 |
64 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
172 |
172 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 99408 |
|
42 |
42 |
$0.00 |
| 2028F |
|
15 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
17 |
$0.00 |
| 3008F |
|
28,166 |
26,552 |
$0.00 |
| 3079F |
|
9,884 |
9,595 |
$0.00 |
| 3075F |
|
4,411 |
4,325 |
$0.00 |
| 3074F |
|
20,070 |
19,287 |
$0.00 |
| 1111F |
|
411 |
401 |
$0.00 |
| 3080F |
|
2,900 |
2,821 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
3,204 |
3,173 |
$0.00 |
| 3044F |
|
1,012 |
998 |
$0.00 |
| 1125F |
|
14,150 |
13,542 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1170F |
|
66 |
66 |
$0.00 |
| 3351F |
|
330 |
328 |
$0.00 |
| A9270 |
Non-covered item or service |
234 |
211 |
$0.00 |
| 0012A |
|
15 |
15 |
$0.00 |
| 94760 |
|
25 |
24 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
12 |
$0.00 |
| 3352F |
|
25 |
25 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |
| G9393 |
Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five |
19 |
19 |
$0.00 |
| 92227 |
|
26 |
26 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 99385 |
|
34 |
34 |
$0.00 |
| 96156 |
|
15 |
15 |
$0.00 |
| 81000 |
|
39 |
39 |
$0.00 |
| 0031A |
|
12 |
12 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 98967 |
|
13 |
12 |
$0.00 |
| 4008F |
|
16 |
16 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |