| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,348 |
24,961 |
$495K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,951 |
7,735 |
$250K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,645 |
1,498 |
$78K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,022 |
7,430 |
$61K |
| 80305 |
|
13,993 |
12,537 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
3,997 |
3,566 |
$34K |
| 93000 |
|
3,947 |
3,541 |
$25K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
6,444 |
5,815 |
$24K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,898 |
2,554 |
$22K |
| 99490 |
Ccm add 20min |
3,763 |
3,491 |
$20K |
| 82947 |
|
16,302 |
13,703 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,195 |
4,554 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,513 |
427 |
$15K |
| 96156 |
|
702 |
667 |
$15K |
| 90674 |
|
1,222 |
1,119 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
10,541 |
9,250 |
$9K |
| 99497 |
|
2,645 |
2,328 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
122 |
107 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,685 |
2,384 |
$7K |
| 77080 |
|
471 |
411 |
$6K |
| 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) |
3,142 |
2,029 |
$6K |
| 90756 |
|
711 |
653 |
$5K |
| 0031A |
|
434 |
406 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
290 |
251 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
428 |
391 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
55 |
52 |
$3K |
| 82044 |
|
1,149 |
1,022 |
$3K |
| 99496 |
|
57 |
51 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,200 |
2,818 |
$2K |
| 82270 |
|
2,423 |
2,174 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
2,234 |
2,023 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,226 |
2,829 |
$2K |
| 82570 |
|
1,146 |
1,021 |
$2K |
| 99443 |
|
105 |
69 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
130 |
106 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
25 |
$2K |
| 93922 |
|
117 |
114 |
$1K |
| 20610 |
|
98 |
95 |
$1K |
| 81002 |
|
1,203 |
1,094 |
$1K |
| 90661 |
|
251 |
178 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
1,730 |
1,548 |
$846.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,036 |
4,477 |
$828.41 |
| 94010 |
|
60 |
56 |
$588.34 |
| 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 |
54 |
52 |
$532.05 |
| 90686 |
|
86 |
75 |
$487.32 |
| 99397 |
|
383 |
346 |
$443.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
962 |
864 |
$432.46 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
25 |
$409.05 |
| 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 |
29 |
28 |
$335.29 |
| 99439 |
|
78 |
71 |
$237.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
14 |
$188.96 |
| 96160 |
|
417 |
322 |
$142.96 |
| 99487 |
Ccm add 20min |
20 |
20 |
$135.52 |
| 1158F |
|
2,014 |
1,719 |
$96.00 |
| 1160F |
|
1,979 |
1,690 |
$93.65 |
| 85610 |
|
158 |
134 |
$63.36 |
| 1170F |
|
2,809 |
2,495 |
$47.42 |
| 1159F |
|
1,983 |
1,691 |
$40.49 |
| 1125F |
|
3,813 |
3,373 |
$40.07 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$21.83 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
167 |
156 |
$15.00 |
| 3074F |
|
7,962 |
6,698 |
$10.07 |
| 3078F |
|
9,149 |
7,524 |
$10.06 |
| 82274 |
|
12 |
12 |
$9.32 |
| 4010F |
|
1,466 |
1,003 |
$2.65 |
| 3079F |
|
5,300 |
4,622 |
$0.04 |
| 82565 |
|
89 |
77 |
$0.02 |
| 3077F |
|
3,992 |
3,294 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,759 |
2,165 |
$0.02 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
3,470 |
2,481 |
$0.02 |
| 3075F |
|
4,081 |
3,484 |
$0.01 |
| 4274F |
|
432 |
374 |
$0.00 |
| 3051F |
|
304 |
203 |
$0.00 |
| 3045F |
|
32 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
138 |
136 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
279 |
253 |
$0.00 |
| 3008F |
|
839 |
722 |
$0.00 |
| 3080F |
|
1,539 |
1,282 |
$0.00 |
| 1123F |
|
1,053 |
925 |
$0.00 |
| 3044F |
|
1,303 |
1,003 |
$0.00 |
| 1111F |
|
867 |
702 |
$0.00 |
| 96150 |
|
401 |
379 |
$0.00 |
| 91303 |
|
429 |
401 |
$0.00 |
| 3017F |
|
448 |
395 |
$0.00 |
| 4037F |
|
203 |
168 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,217 |
1,995 |
$0.00 |
| 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)). |
18 |
18 |
$0.00 |
| 3060F |
|
13 |
12 |
$0.00 |