| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,058 |
33,788 |
$765K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
2,927 |
2,128 |
$94K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13,319 |
8,295 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,129 |
768 |
$13K |
| 80305 |
|
824 |
736 |
$8K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
1,719 |
1,019 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
54 |
$5K |
| 96127 |
|
2,935 |
2,083 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
125 |
91 |
$3K |
| 99443 |
|
154 |
115 |
$3K |
| 27096 |
|
34 |
24 |
$2K |
| 83970 |
|
367 |
232 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
602 |
380 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,547 |
945 |
$2K |
| 81025 |
|
521 |
338 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
310 |
180 |
$1K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
171 |
162 |
$1K |
| 82627 |
|
406 |
258 |
$1K |
| 84270 |
|
410 |
258 |
$1K |
| 84481 |
|
415 |
247 |
$965.82 |
| 36415 |
Collection of venous blood by venipuncture |
1,777 |
1,056 |
$853.77 |
| 82746 |
|
449 |
264 |
$847.94 |
| 82607 |
|
405 |
258 |
$800.23 |
| 86141 |
|
445 |
270 |
$727.01 |
| 83003 |
|
283 |
151 |
$655.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$631.67 |
| 83735 |
|
416 |
265 |
$577.36 |
| 83690 |
|
405 |
258 |
$563.42 |
| 82728 |
|
412 |
245 |
$560.89 |
| 82150 |
|
454 |
276 |
$558.48 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
77 |
62 |
$551.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
471 |
281 |
$541.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
310 |
196 |
$498.80 |
| 84439 |
|
393 |
247 |
$454.98 |
| 84146 |
|
113 |
69 |
$395.23 |
| 83090 |
|
102 |
78 |
$361.57 |
| 83615 |
|
402 |
247 |
$348.07 |
| 83550 |
|
354 |
220 |
$338.20 |
| 86431 |
|
395 |
247 |
$306.30 |
| 85652 |
|
406 |
258 |
$280.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
314 |
199 |
$265.73 |
| 83540 |
|
392 |
246 |
$262.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
284 |
161 |
$110.61 |
| 84100 |
|
17 |
14 |
$6.35 |
| 1036F |
|
550 |
496 |
$0.00 |
| 4000F |
|
23 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
223 |
133 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
2,799 |
2,583 |
$0.00 |
| 4004F |
|
86 |
83 |
$0.00 |
| 99072 |
|
1,563 |
952 |
$0.00 |
| 3288F |
|
29 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
534 |
334 |
$0.00 |
| 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) |
385 |
300 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
40 |
36 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
19 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
16 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
12 |
$0.00 |