| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144,835 |
97,652 |
$4.92M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36,730 |
26,468 |
$901K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,978 |
13,132 |
$688K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,478 |
4,989 |
$305K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,772 |
2,996 |
$204K |
| 99222 |
Initial hospital care, per day, moderate complexity |
5,197 |
3,907 |
$155K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,266 |
2,028 |
$114K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,266 |
1,175 |
$114K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21,239 |
14,380 |
$92K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,048 |
3,161 |
$76K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,381 |
1,806 |
$66K |
| 94060 |
|
1,902 |
1,704 |
$61K |
| 99307 |
|
3,852 |
1,269 |
$42K |
| 94726 |
|
1,897 |
1,701 |
$37K |
| 20552 |
|
1,943 |
1,495 |
$36K |
| 94729 |
|
1,578 |
1,398 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
2,411 |
2,097 |
$31K |
| G0008 |
Administration of influenza virus vaccine |
2,991 |
2,741 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
681 |
587 |
$27K |
| 93000 |
|
2,529 |
2,187 |
$26K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
529 |
426 |
$25K |
| 99490 |
Ccm add 20min |
1,370 |
1,276 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,080 |
375 |
$21K |
| 95806 |
|
122 |
114 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
362 |
133 |
$16K |
| 72100 |
|
1,011 |
890 |
$15K |
| 90756 |
|
703 |
667 |
$13K |
| 90688 |
|
1,109 |
1,010 |
$13K |
| 90674 |
|
743 |
686 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
271 |
$12K |
| 76770 |
|
255 |
215 |
$12K |
| 93970 |
|
210 |
178 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
244 |
225 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
219 |
137 |
$8K |
| 73560 |
|
481 |
391 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,128 |
5,688 |
$5K |
| 76536 |
|
131 |
112 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
264 |
102 |
$5K |
| 72040 |
|
301 |
254 |
$4K |
| 99385 |
|
82 |
76 |
$4K |
| 95886 |
|
107 |
63 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,302 |
1,693 |
$3K |
| 20610 |
|
131 |
106 |
$2K |
| 99218 |
|
86 |
81 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
27 |
$2K |
| 99386 |
|
43 |
38 |
$2K |
| 90658 |
|
131 |
125 |
$2K |
| 95251 |
|
275 |
185 |
$2K |
| 99217 |
|
75 |
70 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 92576 |
|
74 |
56 |
$1K |
| 90686 |
|
119 |
89 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,766 |
1,336 |
$1K |
| 92546 |
|
59 |
45 |
$756.17 |
| 95912 |
|
28 |
17 |
$751.82 |
| 73030 |
|
57 |
46 |
$566.60 |
| 92541 |
|
73 |
57 |
$560.72 |
| 99441 |
|
77 |
76 |
$456.73 |
| 86580 |
|
121 |
103 |
$449.26 |
| 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 |
17 |
16 |
$251.98 |
| 92547 |
|
74 |
57 |
$180.51 |
| 94664 |
|
1,205 |
1,136 |
$112.24 |
| J3490 |
Unclassified drugs |
27 |
27 |
$70.46 |
| 3044F |
|
251 |
216 |
$37.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
46 |
33 |
$35.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
60 |
$15.00 |
| 1100F |
|
15 |
13 |
$0.00 |
| 3078F |
|
117 |
117 |
$0.00 |
| 3045F |
|
20 |
15 |
$0.00 |
| 3074F |
|
126 |
126 |
$0.00 |
| 3075F |
|
66 |
66 |
$0.00 |
| 3079F |
|
76 |
76 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |