| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,907 |
3,751 |
$180K |
| S8301 |
Infection control supplies, not otherwise specified |
4,215 |
3,023 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,470 |
2,722 |
$105K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27,982 |
10,040 |
$79K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16,995 |
9,689 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,017 |
865 |
$51K |
| 99000 |
|
2,879 |
1,892 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
342 |
$19K |
| 99490 |
Ccm add 20min |
12,069 |
11,903 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,877 |
1,154 |
$13K |
| 99444 |
|
199 |
49 |
$11K |
| 99497 |
|
3,432 |
3,285 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
280 |
273 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,027 |
873 |
$10K |
| 81002 |
|
2,990 |
1,922 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
504 |
328 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
170 |
164 |
$6K |
| 99215 |
Prolong outpt/office vis |
63 |
58 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
199 |
$3K |
| 81025 |
|
423 |
380 |
$3K |
| 90461 |
|
810 |
691 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
329 |
309 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
171 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
27 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
189 |
177 |
$1K |
| 99464 |
|
14 |
14 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 99381 |
|
12 |
12 |
$993.84 |
| 59430 |
|
12 |
12 |
$924.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
89 |
$912.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$839.45 |
| 90674 |
|
88 |
87 |
$771.46 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
17 |
$573.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$374.40 |
| 99407 |
|
311 |
264 |
$327.30 |
| 90686 |
|
169 |
166 |
$286.73 |
| 92650 |
|
12 |
12 |
$233.00 |
| 90670 |
|
379 |
373 |
$202.23 |
| 99496 |
|
396 |
365 |
$166.85 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
4,993 |
1,344 |
$156.68 |
| 0031A |
|
34 |
34 |
$140.53 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
13 |
$98.38 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
207 |
147 |
$73.37 |
| 99318 |
|
90 |
89 |
$64.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
61 |
$63.26 |
| 99315 |
|
12 |
12 |
$51.64 |
| 96161 |
|
619 |
483 |
$40.50 |
| 90473 |
|
14 |
14 |
$27.50 |
| 90677 |
|
58 |
54 |
$0.02 |
| 96127 |
|
150 |
141 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
73 |
60 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
74 |
70 |
$0.00 |
| 1101F |
|
21 |
21 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
35 |
$0.00 |
| 90698 |
|
32 |
32 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
31 |
31 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
25 |
25 |
$0.00 |
| 90681 |
|
41 |
41 |
$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) |
1,047 |
884 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90648 |
|
36 |
36 |
$0.00 |
| 99173 |
|
28 |
27 |
$0.00 |
| 99072 |
|
25 |
24 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
27 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |