| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,274 |
29,947 |
$1.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,966 |
18,976 |
$1.14M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,391 |
2,388 |
$192K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,474 |
1,473 |
$123K |
| 99215 |
Prolong outpt/office vis |
1,451 |
1,403 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
797 |
791 |
$85K |
| 99442 |
|
4,374 |
4,081 |
$66K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,578 |
2,037 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,587 |
1,498 |
$42K |
| 99443 |
|
1,564 |
1,494 |
$35K |
| 93000 |
|
2,926 |
2,884 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,850 |
1,675 |
$28K |
| 99491 |
Ccm add 20min |
2,401 |
2,371 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,329 |
1,273 |
$25K |
| 95819 |
|
165 |
88 |
$23K |
| 99205 |
Prolong outpt/office vis |
163 |
163 |
$20K |
| 99441 |
|
2,079 |
1,959 |
$17K |
| 95886 |
|
288 |
178 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
825 |
824 |
$10K |
| 90674 |
|
369 |
366 |
$9K |
| 99490 |
Ccm add 20min |
1,115 |
1,109 |
$9K |
| 99385 |
|
106 |
106 |
$6K |
| 95912 |
|
64 |
37 |
$6K |
| 90686 |
|
325 |
319 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
880 |
849 |
$4K |
| 90688 |
|
288 |
283 |
$4K |
| 99457 |
|
374 |
373 |
$4K |
| 99401 |
|
118 |
117 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
177 |
76 |
$3K |
| 90694 |
|
213 |
196 |
$3K |
| 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 |
244 |
231 |
$3K |
| 99454 |
|
192 |
191 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,431 |
1,315 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
85 |
70 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
525 |
494 |
$3K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
41 |
24 |
$2K |
| H2015 |
Comprehensive community support services, per 15 minutes |
16 |
12 |
$2K |
| 80305 |
|
247 |
234 |
$2K |
| 99318 |
|
68 |
68 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
121 |
119 |
$2K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
25 |
18 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
37 |
32 |
$2K |
| 90653 |
|
134 |
126 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$1K |
| 97164 |
|
38 |
37 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
87 |
43 |
$1K |
| 97161 |
|
19 |
17 |
$930.51 |
| 97124 |
|
74 |
33 |
$824.31 |
| 97014 |
|
68 |
35 |
$686.54 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$488.07 |
| 99497 |
|
33 |
33 |
$414.70 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
14 |
$324.33 |
| 97035 |
|
26 |
13 |
$277.92 |
| 11100 |
|
14 |
13 |
$271.10 |
| 11101 |
|
14 |
13 |
$154.08 |
| 99000 |
|
303 |
268 |
$150.62 |
| 99453 |
|
41 |
39 |
$147.81 |
| 97010 |
|
133 |
60 |
$145.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17 |
16 |
$122.06 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
16 |
14 |
$21.07 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
13 |
$0.00 |