| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,047 |
41,758 |
$1.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,573 |
24,624 |
$638K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,544 |
1,136 |
$309K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,169 |
6,524 |
$292K |
| 99215 |
Prolong outpt/office vis |
5,291 |
4,434 |
$231K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,792 |
2,504 |
$143K |
| 99205 |
Prolong outpt/office vis |
1,701 |
1,458 |
$115K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,586 |
2,275 |
$115K |
| 99233 |
Prolong inpt eval add15 m |
1,866 |
791 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,250 |
3,813 |
$39K |
| 64615 |
|
595 |
560 |
$38K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,159 |
792 |
$31K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
108 |
103 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,152 |
1,426 |
$28K |
| 95813 |
|
454 |
381 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
478 |
206 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,334 |
1,189 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
103 |
96 |
$6K |
| 47562 |
|
25 |
24 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
270 |
255 |
$6K |
| 94060 |
|
637 |
588 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
636 |
545 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
104 |
84 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
28 |
26 |
$5K |
| 94726 |
|
513 |
489 |
$4K |
| 94729 |
|
515 |
490 |
$4K |
| 95886 |
|
134 |
95 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
362 |
315 |
$4K |
| 90756 |
|
278 |
258 |
$4K |
| 99292 |
|
136 |
68 |
$4K |
| 90686 |
|
414 |
380 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,487 |
3,078 |
$3K |
| 95812 |
|
77 |
73 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
27 |
$3K |
| 95720 |
|
44 |
24 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
185 |
127 |
$3K |
| 95819 |
|
71 |
65 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,110 |
946 |
$3K |
| 73110 |
|
189 |
139 |
$3K |
| 20610 |
|
248 |
211 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
105 |
85 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
536 |
460 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
12 |
$2K |
| 73564 |
|
139 |
122 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
33 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
170 |
81 |
$2K |
| 95911 |
|
15 |
14 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
228 |
117 |
$1K |
| 82962 |
|
996 |
846 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
544 |
403 |
$1K |
| 72100 |
|
188 |
166 |
$1K |
| G0509 |
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth |
80 |
36 |
$1K |
| 99460 |
|
52 |
42 |
$1K |
| 59514 |
|
16 |
13 |
$1K |
| 90785 |
|
1,095 |
492 |
$989.90 |
| 80305 |
|
154 |
136 |
$982.04 |
| 73100 |
|
71 |
52 |
$959.19 |
| G0508 |
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth |
83 |
66 |
$946.50 |
| 81002 |
|
629 |
474 |
$877.94 |
| 81025 |
|
190 |
161 |
$850.09 |
| 95913 |
|
14 |
12 |
$841.15 |
| 00812 |
|
13 |
13 |
$797.96 |
| 99442 |
|
75 |
60 |
$677.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
22 |
$633.05 |
| 73140 |
|
44 |
27 |
$603.69 |
| 73130 |
|
41 |
30 |
$599.27 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
54 |
49 |
$583.75 |
| 99449 |
|
78 |
55 |
$576.67 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$426.72 |
| 73560 |
|
55 |
52 |
$416.29 |
| 93000 |
|
55 |
44 |
$367.53 |
| 99462 |
|
14 |
13 |
$349.72 |
| 80061 |
Lipid panel |
71 |
63 |
$341.83 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
33 |
$328.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
559 |
456 |
$322.25 |
| 99441 |
|
69 |
48 |
$295.82 |
| 0001A |
|
12 |
12 |
$270.05 |
| 94618 |
|
14 |
13 |
$221.85 |
| 73630 |
|
14 |
13 |
$215.60 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
12 |
$210.04 |
| 87807 |
|
20 |
17 |
$178.16 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
33 |
12 |
$176.64 |
| 99459 |
|
20 |
14 |
$161.92 |
| 73030 |
|
13 |
13 |
$159.88 |
| G0427 |
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
13 |
13 |
$135.70 |
| 36410 |
|
42 |
37 |
$131.23 |
| 72040 |
|
13 |
12 |
$103.27 |
| 3044F |
|
194 |
157 |
$90.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
20 |
15 |
$78.86 |
| 96127 |
|
44 |
40 |
$78.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
26 |
$48.47 |
| 99000 |
|
1,137 |
904 |
$17.50 |
| 97802 |
|
63 |
51 |
$16.06 |
| 81000 |
|
29 |
13 |
$7.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$7.23 |
| 36416 |
|
304 |
242 |
$2.02 |
| 99024 |
|
3,143 |
2,235 |
$0.00 |
| 3074F |
|
2,452 |
2,114 |
$0.00 |
| 3079F |
|
949 |
851 |
$0.00 |
| 3008F |
|
8,152 |
7,092 |
$0.00 |
| 1126F |
|
2,385 |
2,076 |
$0.00 |
| 3014F |
|
32 |
31 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
73 |
46 |
$0.00 |
| 1170F |
|
2,772 |
2,296 |
$0.00 |
| 1125F |
|
2,306 |
2,030 |
$0.00 |
| 1036F |
|
2,541 |
2,239 |
$0.00 |
| 1031F |
|
74 |
71 |
$0.00 |
| 1030F |
|
503 |
458 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
100 |
98 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
28 |
$0.00 |
| 3075F |
|
442 |
399 |
$0.00 |
| 3017F |
|
158 |
147 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
350 |
273 |
$0.00 |
| 4000F |
|
135 |
120 |
$0.00 |
| 3080F |
|
150 |
132 |
$0.00 |
| 1022F |
|
13 |
13 |
$0.00 |
| 1111F |
|
16 |
15 |
$0.00 |
| 1000F |
|
220 |
188 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
26 |
$0.00 |
| 1034F |
|
124 |
89 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
13 |
$0.00 |
| 99406 |
|
24 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1160F |
|
7,163 |
6,323 |
$0.00 |
| 4004F |
|
131 |
113 |
$0.00 |
| 3016F |
|
27 |
27 |
$0.00 |
| 3725F |
|
2,181 |
1,772 |
$0.00 |
| 1159F |
|
6,596 |
5,821 |
$0.00 |
| 3078F |
|
2,137 |
1,840 |
$0.00 |
| 3288F |
|
691 |
621 |
$0.00 |
| 1100F |
|
330 |
290 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
439 |
351 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
789 |
752 |
$0.00 |
| 3077F |
|
308 |
260 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
12 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
59 |
38 |
$0.00 |
| 4013F |
|
103 |
93 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
65 |
60 |
$0.00 |
| 91300 |
|
20 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
32 |
$0.00 |
| 90655 |
|
20 |
13 |
$0.00 |