| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,953 |
56,032 |
$2.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,523 |
17,589 |
$826K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,836 |
1,510 |
$98K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,734 |
879 |
$78K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
850 |
661 |
$50K |
| 87428 |
|
867 |
811 |
$50K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,151 |
3,128 |
$43K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
7,872 |
5,777 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
411 |
363 |
$29K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,669 |
1,214 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,042 |
872 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
326 |
246 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
701 |
524 |
$17K |
| 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 |
750 |
434 |
$8K |
| 90674 |
|
615 |
408 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
181 |
159 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
980 |
716 |
$7K |
| 99215 |
Prolong outpt/office vis |
158 |
125 |
$7K |
| 96127 |
|
1,955 |
1,578 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
332 |
292 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
919 |
582 |
$4K |
| 99490 |
Ccm add 20min |
1,412 |
793 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
354 |
341 |
$3K |
| 90756 |
|
185 |
150 |
$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 |
263 |
161 |
$2K |
| 3008F |
|
17,342 |
12,987 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
24 |
$2K |
| 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 |
87 |
80 |
$2K |
| 99442 |
|
99 |
89 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
57 |
$2K |
| 90686 |
|
140 |
112 |
$2K |
| 99441 |
|
128 |
115 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
109 |
91 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
13 |
$1K |
| 90715 |
|
66 |
40 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
312 |
242 |
$1K |
| 0001A |
|
42 |
20 |
$920.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
56 |
$821.35 |
| 93000 |
|
99 |
80 |
$761.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
587 |
464 |
$761.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
166 |
112 |
$759.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
263 |
224 |
$697.73 |
| G0008 |
Administration of influenza virus vaccine |
294 |
198 |
$672.91 |
| 99443 |
|
34 |
27 |
$650.28 |
| 0011A |
|
27 |
14 |
$637.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,127 |
749 |
$595.18 |
| 92551 |
|
80 |
67 |
$584.14 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
28 |
$521.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
28 |
$509.20 |
| 98925 |
|
25 |
13 |
$485.86 |
| 0002A |
|
16 |
12 |
$480.00 |
| 80305 |
|
165 |
158 |
$461.06 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
407 |
275 |
$459.32 |
| 36415 |
Collection of venous blood by venipuncture |
404 |
312 |
$333.75 |
| 99173 |
|
50 |
38 |
$292.32 |
| 99050 |
|
43 |
37 |
$252.15 |
| 81003 |
|
256 |
214 |
$196.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,562 |
1,074 |
$185.59 |
| 90653 |
|
55 |
20 |
$159.96 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
14 |
$37.80 |
| 3078F |
|
5,485 |
4,076 |
$20.01 |
| 3074F |
|
5,886 |
4,465 |
$20.00 |
| 1159F |
|
6,813 |
5,050 |
$0.02 |
| 1160F |
|
6,812 |
5,049 |
$0.01 |
| 1126F |
|
3,079 |
2,556 |
$0.01 |
| 3077F |
|
2,750 |
1,942 |
$0.00 |
| 4004F |
|
182 |
139 |
$0.00 |
| 1125F |
|
5,493 |
4,181 |
$0.00 |
| 1036F |
|
2,279 |
1,751 |
$0.00 |
| 3075F |
|
1,373 |
1,058 |
$0.00 |
| 3079F |
|
3,558 |
2,697 |
$0.00 |
| 3080F |
|
924 |
683 |
$0.00 |