| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,305 |
42,170 |
$3.39M |
| 99493 |
|
16,856 |
16,403 |
$1.71M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
2,149 |
238 |
$682K |
| T1016 |
Case management, each 15 minutes |
4,555 |
1,459 |
$416K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,272 |
4,124 |
$380K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
7,134 |
5,748 |
$373K |
| 99492 |
|
3,281 |
3,235 |
$360K |
| 90791 |
Psychiatric diagnostic evaluation |
2,523 |
2,480 |
$351K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,446 |
6,597 |
$342K |
| 99215 |
Prolong outpt/office vis |
2,393 |
2,088 |
$209K |
| 80305 |
|
20,896 |
9,978 |
$169K |
| H2014 |
Skills training and development, per 15 minutes |
1,050 |
334 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
866 |
822 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,195 |
1,901 |
$48K |
| 99454 |
|
1,310 |
1,282 |
$45K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
615 |
208 |
$45K |
| 99457 |
|
1,328 |
1,276 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
226 |
219 |
$33K |
| 99205 |
Prolong outpt/office vis |
273 |
265 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,046 |
1,613 |
$25K |
| 99494 |
|
576 |
542 |
$22K |
| 99484 |
|
621 |
615 |
$19K |
| 99401 |
|
652 |
618 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
540 |
389 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
205 |
$17K |
| 96127 |
|
5,098 |
4,362 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,297 |
1,107 |
$14K |
| 93000 |
|
1,286 |
1,203 |
$14K |
| H0038 |
Self-help/peer services, per 15 minutes |
67 |
51 |
$11K |
| 96132 |
|
107 |
107 |
$10K |
| 94060 |
|
190 |
182 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
77 |
$6K |
| 99458 |
|
279 |
246 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,385 |
2,204 |
$6K |
| 99442 |
|
121 |
110 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
330 |
$4K |
| 99385 |
|
38 |
37 |
$3K |
| 0031A |
|
90 |
88 |
$3K |
| 94200 |
|
188 |
182 |
$3K |
| 95923 |
|
32 |
32 |
$3K |
| 96138 |
|
101 |
101 |
$3K |
| 99386 |
|
25 |
25 |
$3K |
| 87428 |
|
148 |
132 |
$2K |
| 99490 |
Ccm add 20min |
697 |
678 |
$2K |
| 95921 |
|
31 |
31 |
$2K |
| 99441 |
|
50 |
44 |
$2K |
| 95250 |
|
13 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
111 |
$2K |
| 86580 |
|
194 |
193 |
$1K |
| 99453 |
|
128 |
125 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$1K |
| 81025 |
|
174 |
164 |
$1K |
| 90756 |
|
71 |
64 |
$1K |
| 93922 |
|
13 |
13 |
$829.74 |
| 81002 |
|
411 |
362 |
$816.09 |
| 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.) |
406 |
350 |
$604.74 |
| 99000 |
|
347 |
292 |
$185.30 |
| 98960 |
|
368 |
311 |
$116.45 |
| 99173 |
|
32 |
30 |
$70.19 |
| 99406 |
|
514 |
402 |
$55.33 |
| 94760 |
|
18 |
17 |
$42.84 |
| 99001 |
|
60 |
56 |
$33.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$15.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
27 |
$2.27 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,113 |
2,753 |
$0.08 |
| 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) |
1,039 |
1,002 |
$0.06 |
| 1159F |
|
355 |
286 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
237 |
223 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
650 |
615 |
$0.01 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
441 |
413 |
$0.01 |
| 91303 |
|
31 |
31 |
$0.01 |
| 1160F |
|
279 |
223 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
68 |
13 |
$0.00 |
| 3078F |
|
42 |
35 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
37 |
33 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
109 |
108 |
$0.00 |
| 99408 |
|
145 |
135 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
50 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
864 |
820 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
333 |
316 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
339 |
331 |
$0.00 |
| 3074F |
|
69 |
54 |
$0.00 |
| 3079F |
|
68 |
59 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
26 |
26 |
$0.00 |
| 1126F |
|
165 |
145 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
43 |
43 |
$0.00 |
| 1125F |
|
414 |
338 |
$0.00 |