| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,088 |
34,182 |
$2.73M |
| 99199 |
Unlisted special service, procedure or report |
147,572 |
91,206 |
$948K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,271 |
8,026 |
$544K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,040 |
1,538 |
$189K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,356 |
1,808 |
$175K |
| 99401 |
|
7,198 |
5,133 |
$141K |
| 99406 |
|
11,055 |
8,940 |
$111K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
613 |
134 |
$103K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,364 |
4,336 |
$63K |
| 99407 |
|
3,086 |
2,761 |
$54K |
| 93000 |
|
3,855 |
3,166 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
392 |
359 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
611 |
385 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
2,198 |
1,577 |
$29K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
218 |
198 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
374 |
302 |
$27K |
| 93923 |
|
517 |
295 |
$22K |
| 99385 |
|
224 |
207 |
$20K |
| 82962 |
|
10,241 |
8,033 |
$19K |
| 97760 |
|
1,208 |
710 |
$12K |
| 94010 |
|
830 |
633 |
$12K |
| 99442 |
|
282 |
178 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
573 |
441 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
562 |
439 |
$10K |
| 99441 |
|
502 |
297 |
$9K |
| 95923 |
|
197 |
175 |
$8K |
| 99384 |
|
97 |
84 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
861 |
664 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
54 |
45 |
$7K |
| 72100 |
|
433 |
326 |
$7K |
| 95117 |
|
1,153 |
421 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
452 |
268 |
$6K |
| 90686 |
|
1,137 |
739 |
$6K |
| 96132 |
|
332 |
227 |
$4K |
| 93922 |
|
110 |
72 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
50 |
37 |
$3K |
| 99386 |
|
27 |
26 |
$3K |
| 99490 |
Ccm add 20min |
878 |
376 |
$3K |
| 99383 |
|
38 |
30 |
$2K |
| 99051 |
|
114 |
94 |
$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) |
987 |
617 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
681 |
566 |
$1K |
| 96138 |
|
386 |
248 |
$1K |
| 94660 |
|
126 |
81 |
$1K |
| 3044F |
|
1,655 |
1,494 |
$1K |
| 99201 |
|
53 |
33 |
$1K |
| 74018 |
|
103 |
63 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,717 |
1,147 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$1K |
| 95921 |
|
44 |
29 |
$974.95 |
| 92546 |
|
26 |
15 |
$937.65 |
| 20610 |
|
37 |
25 |
$704.24 |
| 99408 |
|
29 |
28 |
$703.40 |
| 95927 |
|
14 |
13 |
$664.92 |
| 73560 |
|
49 |
24 |
$593.95 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,528 |
3,080 |
$519.72 |
| 92540 |
|
17 |
15 |
$457.08 |
| 93015 |
|
12 |
12 |
$448.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,972 |
1,483 |
$406.63 |
| J1815 |
Injection, insulin, per 5 units |
1,841 |
1,341 |
$385.77 |
| 90661 |
|
22 |
21 |
$359.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
60 |
39 |
$251.39 |
| 99495 |
|
27 |
24 |
$219.03 |
| 96127 |
|
52 |
48 |
$179.34 |
| 95922 |
|
14 |
13 |
$175.85 |
| 95943 |
|
13 |
12 |
$120.80 |
| 99497 |
|
14 |
13 |
$94.38 |
| 3046F |
|
80 |
66 |
$80.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
30 |
$35.35 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
37 |
24 |
$34.95 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
37,609 |
29,700 |
$22.89 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
25 |
24 |
$22.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
12 |
$21.16 |
| 3051F |
|
12 |
12 |
$20.02 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
152 |
124 |
$20.00 |
| 90688 |
|
15 |
13 |
$16.67 |
| 94760 |
|
193 |
178 |
$4.14 |
| 3079F |
|
10,682 |
8,030 |
$2.87 |
| 3074F |
|
9,844 |
7,449 |
$2.68 |
| 3078F |
|
5,944 |
4,654 |
$1.63 |
| 1159F |
|
3,009 |
2,715 |
$1.36 |
| 1160F |
|
3,079 |
2,785 |
$1.35 |
| 3075F |
|
4,896 |
3,801 |
$1.34 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
345 |
282 |
$1.28 |
| 3077F |
|
3,946 |
3,085 |
$1.28 |
| 3080F |
|
2,038 |
1,630 |
$0.79 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
18 |
12 |
$0.12 |
| 4004F |
|
12,126 |
9,918 |
$0.02 |
| 1036F |
|
25,769 |
20,721 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19,670 |
16,914 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17,241 |
13,796 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
176 |
162 |
$0.00 |
| 1101F |
|
83 |
80 |
$0.00 |
| 99000 |
|
733 |
493 |
$0.00 |
| 3011F |
|
174 |
169 |
$0.00 |
| 3008F |
|
3,080 |
2,751 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
98 |
86 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
119 |
112 |
$0.00 |
| 1034F |
|
869 |
785 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
843 |
815 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
48 |
47 |
$0.00 |
| 1220F |
|
52 |
50 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 4037F |
|
33 |
29 |
$0.00 |
| 3014F |
|
27 |
22 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20,251 |
16,220 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18,718 |
16,153 |
$0.00 |
| 99072 |
|
445 |
263 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
214 |
186 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,811 |
1,712 |
$0.00 |
| 4274F |
|
144 |
125 |
$0.00 |
| 3023F |
|
18 |
17 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
20 |
15 |
$0.00 |
| 4025F |
|
33 |
28 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
21 |
21 |
$0.00 |