| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85,566 |
64,009 |
$3.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,832 |
19,176 |
$867K |
| 80050 |
General health panel |
8,977 |
8,202 |
$375K |
| 80061 |
Lipid panel |
9,500 |
8,671 |
$114K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,052 |
1,475 |
$84K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,584 |
10,389 |
$77K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
412 |
357 |
$61K |
| 92587 |
|
1,527 |
1,277 |
$45K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
437 |
192 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
519 |
421 |
$39K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
140 |
127 |
$32K |
| 99243 |
|
323 |
270 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,010 |
2,734 |
$30K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,228 |
1,082 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
2,925 |
2,229 |
$26K |
| 99490 |
Ccm add 20min |
8,788 |
6,497 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,463 |
860 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
367 |
303 |
$18K |
| 82607 |
|
1,273 |
1,133 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
665 |
515 |
$16K |
| 93000 |
|
1,583 |
1,196 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
826 |
590 |
$14K |
| 82746 |
|
1,230 |
1,091 |
$13K |
| 82728 |
|
1,109 |
982 |
$12K |
| 87428 |
|
318 |
249 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,164 |
1,030 |
$10K |
| 80053 |
Comprehensive metabolic panel |
974 |
871 |
$10K |
| 83550 |
|
1,097 |
970 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
125 |
108 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
549 |
499 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
109 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
679 |
588 |
$6K |
| 83540 |
|
1,111 |
984 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
321 |
233 |
$6K |
| 99215 |
Prolong outpt/office vis |
123 |
88 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
49 |
41 |
$5K |
| 84481 |
|
339 |
315 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
276 |
114 |
$5K |
| 92550 |
|
456 |
374 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
707 |
479 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
49 |
34 |
$4K |
| 70220 |
|
273 |
222 |
$4K |
| 90674 |
|
297 |
257 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
167 |
141 |
$2K |
| 83735 |
|
400 |
341 |
$2K |
| 84436 |
|
349 |
329 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
490 |
403 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,343 |
1,007 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
33 |
28 |
$2K |
| 84479 |
|
349 |
329 |
$2K |
| 72110 |
|
90 |
65 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
27 |
$1K |
| 81003 |
|
386 |
340 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
126 |
89 |
$747.39 |
| 71045 |
Radiologic examination, chest; single view |
99 |
73 |
$738.08 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
15 |
$728.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
14 |
$676.06 |
| 73560 |
|
69 |
45 |
$644.17 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
609 |
429 |
$616.22 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
14 |
$610.54 |
| 90661 |
|
34 |
33 |
$601.83 |
| 0012A |
|
13 |
13 |
$520.00 |
| 93880 |
|
20 |
12 |
$515.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
119 |
$515.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
746 |
568 |
$487.99 |
| 99457 |
|
96 |
55 |
$460.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,487 |
1,165 |
$456.03 |
| 73562 |
|
68 |
40 |
$416.00 |
| 84550 |
|
72 |
69 |
$384.00 |
| 80305 |
|
79 |
71 |
$368.99 |
| 94729 |
|
27 |
27 |
$331.40 |
| 94727 |
|
27 |
27 |
$265.00 |
| 90756 |
|
153 |
150 |
$236.85 |
| 82962 |
|
98 |
93 |
$234.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
15 |
$224.00 |
| 99454 |
|
47 |
26 |
$210.71 |
| 81002 |
|
80 |
57 |
$131.61 |
| 84439 |
|
15 |
13 |
$117.00 |
| 94010 |
|
12 |
12 |
$100.93 |
| 83690 |
|
18 |
13 |
$84.00 |
| 82150 |
|
18 |
13 |
$84.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
24 |
$82.48 |
| 82043 |
|
13 |
13 |
$78.00 |
| 99173 |
|
22 |
16 |
$52.00 |
| 3078F |
|
3,952 |
3,410 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
582 |
515 |
$0.00 |
| 4004F |
|
1,318 |
1,184 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
233 |
221 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,029 |
6,268 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
59 |
56 |
$0.00 |
| 4040F |
|
689 |
618 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
415 |
368 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,198 |
1,106 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
263 |
248 |
$0.00 |
| 3016F |
|
120 |
109 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |
| 4025F |
|
15 |
14 |
$0.00 |
| 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 |
34 |
34 |
$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) |
31 |
24 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
32 |
27 |
$0.00 |
| 92502 |
|
12 |
12 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99307 |
|
20 |
12 |
$0.00 |
| 3074F |
|
4,859 |
4,201 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,408 |
1,300 |
$0.00 |
| 1036F |
|
3,141 |
2,808 |
$0.00 |
| 3044F |
|
343 |
296 |
$0.00 |
| 3079F |
|
1,274 |
1,110 |
$0.00 |
| 3017F |
|
592 |
536 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
211 |
186 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
368 |
357 |
$0.00 |
| 1006F |
|
372 |
329 |
$0.00 |
| 1125F |
|
43 |
38 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
165 |
105 |
$0.00 |
| 3075F |
|
192 |
174 |
$0.00 |
| 3014F |
|
21 |
20 |
$0.00 |
| 1101F |
|
16 |
13 |
$0.00 |
| 3025F |
|
15 |
14 |
$0.00 |