| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36478 |
|
1,049 |
817 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,631 |
7,796 |
$362K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,343 |
3,847 |
$357K |
| 36465 |
|
807 |
473 |
$295K |
| 93925 |
|
3,307 |
3,229 |
$237K |
| 93880 |
|
3,063 |
2,996 |
$154K |
| 36466 |
|
422 |
264 |
$141K |
| 76536 |
|
2,133 |
2,114 |
$116K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,926 |
1,910 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,537 |
2,308 |
$74K |
| 99443 |
|
1,228 |
1,174 |
$64K |
| 93975 |
|
923 |
892 |
$58K |
| 93892 |
|
706 |
690 |
$57K |
| 93890 |
|
706 |
690 |
$43K |
| 95816 |
|
350 |
338 |
$36K |
| 95913 |
|
346 |
332 |
$36K |
| 36470 |
|
180 |
143 |
$35K |
| 95886 |
|
528 |
495 |
$35K |
| 93923 |
|
830 |
818 |
$35K |
| 93970 |
|
486 |
480 |
$33K |
| 94621 |
|
527 |
522 |
$31K |
| 93924 |
|
600 |
593 |
$30K |
| 94729 |
|
1,582 |
1,558 |
$30K |
| 93886 |
|
706 |
690 |
$29K |
| 94060 |
|
1,582 |
1,555 |
$28K |
| 76775 |
|
1,216 |
1,208 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,328 |
1,255 |
$25K |
| 36471 |
|
68 |
54 |
$24K |
| 94727 |
|
1,582 |
1,558 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
226 |
217 |
$22K |
| 95923 |
|
536 |
526 |
$21K |
| 95813 |
|
140 |
136 |
$20K |
| 76981 |
|
400 |
399 |
$20K |
| 99442 |
|
570 |
555 |
$18K |
| 99215 |
Prolong outpt/office vis |
378 |
363 |
$16K |
| 92546 |
|
482 |
476 |
$15K |
| 95957 |
|
261 |
254 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
278 |
274 |
$14K |
| 95921 |
|
482 |
472 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
418 |
417 |
$13K |
| 92540 |
|
486 |
480 |
$12K |
| 93971 |
|
264 |
216 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
695 |
682 |
$11K |
| 95911 |
|
118 |
116 |
$9K |
| 99483 |
Prolong outpt/office vis |
130 |
129 |
$9K |
| 90682 |
|
162 |
154 |
$8K |
| 76830 |
Ultrasound, transvaginal |
97 |
96 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
74 |
$8K |
| 94375 |
|
514 |
509 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,037 |
1,011 |
$7K |
| 93922 |
|
205 |
204 |
$5K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
603 |
575 |
$5K |
| 93000 |
|
816 |
807 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
785 |
756 |
$5K |
| 92537 |
|
485 |
479 |
$5K |
| 92653 |
|
263 |
254 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,001 |
844 |
$4K |
| 95930 |
|
260 |
254 |
$4K |
| 99497 |
|
122 |
121 |
$4K |
| 99407 |
|
301 |
275 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
253 |
$3K |
| 87428 |
|
78 |
76 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
202 |
202 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
52 |
$2K |
| 99490 |
Ccm add 20min |
124 |
123 |
$2K |
| 90677 |
|
33 |
32 |
$2K |
| 96138 |
|
284 |
270 |
$2K |
| 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) |
307 |
252 |
$2K |
| 95912 |
|
15 |
14 |
$2K |
| 93244 |
|
172 |
165 |
$2K |
| 93242 |
|
252 |
233 |
$1K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
76 |
72 |
$1K |
| 95800 |
|
19 |
18 |
$1K |
| 99457 |
|
114 |
112 |
$731.42 |
| 82962 |
|
1,466 |
1,415 |
$710.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
532 |
440 |
$567.26 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
32 |
16 |
$504.58 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
58 |
56 |
$476.06 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
32 |
16 |
$412.54 |
| 96116 |
|
14 |
12 |
$380.92 |
| 99441 |
|
17 |
14 |
$327.04 |
| 92250 |
|
13 |
13 |
$304.17 |
| 96132 |
|
12 |
12 |
$274.43 |
| 94010 |
|
18 |
18 |
$218.32 |
| 99406 |
|
32 |
30 |
$204.80 |
| 91200 |
|
18 |
18 |
$194.28 |
| 95943 |
|
30 |
30 |
$153.85 |
| 99458 |
|
56 |
55 |
$130.26 |
| 93246 |
|
12 |
12 |
$70.85 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
64 |
$53.70 |
| 99454 |
|
28 |
28 |
$49.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$17.72 |
| 3079F |
|
47 |
45 |
$0.01 |
| 3075F |
|
40 |
36 |
$0.01 |
| G0008 |
Administration of influenza virus vaccine |
131 |
129 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
278 |
278 |
$0.00 |
| 3074F |
|
151 |
142 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
13 |
$0.00 |
| 99072 |
|
285 |
277 |
$0.00 |
| 1159F |
|
92 |
84 |
$0.00 |
| 1160F |
|
92 |
84 |
$0.00 |
| 3078F |
|
143 |
133 |
$0.00 |
| 90662 |
|
84 |
82 |
$0.00 |