| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
29,391 |
26,196 |
$1.27M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,627 |
1,502 |
$401K |
| 99490 |
Ccm add 20min |
13,901 |
12,687 |
$181K |
| 99350 |
Prolong home eval add 15m |
1,314 |
1,160 |
$78K |
| 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 |
6,433 |
6,122 |
$61K |
| 99348 |
|
2,448 |
2,236 |
$59K |
| 99342 |
|
238 |
238 |
$57K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
716 |
670 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
204 |
$32K |
| 99443 |
|
499 |
401 |
$24K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
485 |
462 |
$11K |
| G0180 |
Physician or allowed practitioner 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 |
886 |
850 |
$10K |
| 99442 |
|
296 |
270 |
$10K |
| 93000 |
|
980 |
911 |
$7K |
| 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 |
421 |
395 |
$7K |
| 99336 |
|
456 |
405 |
$7K |
| Q0092 |
Set-up portable x-ray equipment |
745 |
697 |
$7K |
| 90674 |
|
1,006 |
943 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
1,124 |
1,005 |
$4K |
| 99344 |
|
12 |
12 |
$4K |
| 99386 |
|
16 |
16 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,653 |
3,571 |
$3K |
| 99441 |
|
97 |
93 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$2K |
| 99497 |
|
495 |
379 |
$2K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
3,659 |
3,574 |
$2K |
| 83970 |
|
97 |
92 |
$2K |
| 90670 |
|
21 |
21 |
$1K |
| 90756 |
|
344 |
302 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
258 |
171 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
81 |
77 |
$930.44 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
74 |
67 |
$706.43 |
| 90661 |
|
91 |
69 |
$700.15 |
| 84134 |
|
125 |
121 |
$617.35 |
| 83880 |
|
45 |
42 |
$603.33 |
| 82607 |
|
115 |
113 |
$580.73 |
| 82746 |
|
110 |
108 |
$543.80 |
| 83721 |
|
125 |
120 |
$440.55 |
| 0031A |
|
29 |
28 |
$371.82 |
| 84439 |
|
79 |
69 |
$367.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
28 |
$315.75 |
| 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 |
54 |
52 |
$308.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
105 |
$304.78 |
| 80053 |
Comprehensive metabolic panel |
137 |
135 |
$273.95 |
| 71045 |
Radiologic examination, chest; single view |
170 |
103 |
$273.05 |
| 81002 |
|
137 |
124 |
$242.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
124 |
124 |
$181.50 |
| 83735 |
|
93 |
92 |
$163.25 |
| 84100 |
|
85 |
84 |
$149.07 |
| 83718 |
|
115 |
111 |
$127.76 |
| 99406 |
|
18 |
17 |
$92.41 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$79.03 |
| 83090 |
|
17 |
16 |
$73.56 |
| 82962 |
|
60 |
55 |
$39.29 |
| 99072 |
|
502 |
476 |
$30.00 |
| 84550 |
|
31 |
30 |
$25.35 |
| 91303 |
|
29 |
28 |
$0.11 |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
39 |
$0.00 |
| 1101F |
|
806 |
774 |
$0.00 |
| 1125F |
|
270 |
241 |
$0.00 |
| 1170F |
|
826 |
794 |
$0.00 |
| 1000F |
|
22 |
22 |
$0.00 |
| 1111F |
|
150 |
128 |
$0.00 |
| 1126F |
|
688 |
650 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
262 |
$0.00 |
| 3044F |
|
195 |
171 |
$0.00 |
| 3008F |
|
24 |
24 |
$0.00 |
| 0509F |
|
37 |
27 |
$0.00 |
| 4450F |
|
24 |
24 |
$0.00 |
| 2010F |
|
23 |
23 |
$0.00 |
| 80050 |
General health panel |
74 |
74 |
$0.00 |
| 3037F |
|
23 |
23 |
$0.00 |
| 1123F |
|
21 |
12 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 1055F |
|
24 |
24 |
$0.00 |
| 2000F |
|
24 |
24 |
$0.00 |
| 1030F |
|
23 |
23 |
$0.00 |
| 1220F |
|
23 |
23 |
$0.00 |
| 2001F |
|
24 |
24 |
$0.00 |
| 1022F |
|
23 |
23 |
$0.00 |
| 1031F |
|
22 |
22 |
$0.00 |
| 1090F |
|
807 |
775 |
$0.00 |
| 1159F |
|
1,350 |
1,245 |
$0.00 |
| 1160F |
|
1,347 |
1,239 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 1494F |
|
23 |
23 |
$0.00 |
| 1158F |
|
235 |
225 |
$0.00 |
| 3028F |
|
24 |
24 |
$0.00 |
| 4328F |
|
24 |
24 |
$0.00 |
| 3288F |
|
24 |
24 |
$0.00 |
| 4004F |
|
19 |
19 |
$0.00 |
| 2014F |
|
22 |
22 |
$0.00 |
| 6080F |
|
24 |
24 |
$0.00 |