| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
22,079 |
21,638 |
$552K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,901 |
7,149 |
$460K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,695 |
6,776 |
$349K |
| Q4206 |
Fluid flow or fluid gf, 1 cc |
222 |
191 |
$96K |
| 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 |
1,357 |
1,174 |
$60K |
| 80053 |
Comprehensive metabolic panel |
1,666 |
1,620 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
739 |
686 |
$19K |
| 80061 |
Lipid panel |
1,419 |
1,381 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,437 |
1,403 |
$12K |
| 99407 |
|
939 |
808 |
$12K |
| 90670 |
|
118 |
112 |
$10K |
| 99497 |
|
257 |
245 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,652 |
1,601 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
443 |
438 |
$9K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,268 |
1,118 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
352 |
329 |
$7K |
| 99402 |
|
260 |
232 |
$6K |
| 80305 |
|
764 |
710 |
$6K |
| 99454 |
|
1,678 |
1,597 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,944 |
1,852 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
47 |
44 |
$5K |
| 99457 |
|
1,600 |
1,506 |
$5K |
| 90674 |
|
270 |
257 |
$4K |
| 99304 |
|
105 |
88 |
$3K |
| 90756 |
|
191 |
185 |
$3K |
| 96138 |
|
145 |
135 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
240 |
227 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
164 |
148 |
$2K |
| 96103 |
|
146 |
144 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
236 |
222 |
$2K |
| 96127 |
|
457 |
445 |
$2K |
| 99408 |
|
139 |
132 |
$2K |
| 20611 |
|
189 |
164 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
426 |
379 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
27 |
26 |
$1K |
| 99487 |
Ccm add 20min |
24 |
24 |
$1K |
| 0124A |
|
37 |
37 |
$876.40 |
| 93882 |
|
21 |
21 |
$768.08 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
102 |
97 |
$720.29 |
| 93978 |
|
15 |
15 |
$710.26 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
38 |
37 |
$688.90 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
13 |
$645.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$581.88 |
| 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) |
259 |
231 |
$478.50 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
28 |
$474.22 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
26 |
$471.77 |
| 0011A |
|
14 |
14 |
$467.89 |
| 0012A |
|
14 |
14 |
$458.31 |
| 0064A |
|
16 |
14 |
$440.00 |
| 0004A |
|
13 |
13 |
$440.00 |
| 99307 |
|
13 |
12 |
$397.48 |
| 90732 |
|
12 |
12 |
$327.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$277.07 |
| 99401 |
|
12 |
12 |
$263.41 |
| 76775 |
|
16 |
16 |
$211.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$210.17 |
| 92250 |
|
15 |
14 |
$117.24 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
24 |
$100.31 |
| 81003 |
|
57 |
51 |
$96.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
24 |
$91.37 |
| G0009 |
Administration of pneumococcal vaccine |
67 |
62 |
$50.34 |
| G0008 |
Administration of influenza virus vaccine |
206 |
199 |
$5.41 |
| 91312 |
|
26 |
26 |
$0.08 |
| 91313 |
|
12 |
12 |
$0.02 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
766 |
696 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
706 |
647 |
$0.01 |
| 3044F |
|
372 |
344 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
118 |
105 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
45 |
41 |
$0.00 |
| 90694 |
|
40 |
39 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
39 |
36 |
$0.00 |
| 91305 |
|
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
101 |
96 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
127 |
118 |
$0.00 |
| 3046F |
|
230 |
213 |
$0.00 |