| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
76,348 |
39,693 |
$499K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,806 |
12,389 |
$458K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,495 |
6,781 |
$326K |
| 99375 |
|
694 |
657 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,338 |
2,699 |
$29K |
| 80061 |
Lipid panel |
2,287 |
1,780 |
$22K |
| 80053 |
Comprehensive metabolic panel |
2,880 |
2,248 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,800 |
2,157 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,080 |
854 |
$10K |
| 0012A |
|
153 |
115 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,090 |
828 |
$7K |
| 87428 |
|
211 |
150 |
$6K |
| 90674 |
|
468 |
348 |
$5K |
| 0013A |
|
160 |
82 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,529 |
2,699 |
$5K |
| 0011A |
|
162 |
123 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
288 |
$3K |
| 99401 |
|
162 |
112 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
113 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$2K |
| 90756 |
|
216 |
195 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
58 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 83735 |
|
234 |
194 |
$1K |
| 90661 |
|
88 |
64 |
$1K |
| 91322 |
|
22 |
19 |
$1K |
| 0002A |
|
17 |
16 |
$950.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$924.66 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
195 |
146 |
$839.63 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
161 |
151 |
$761.90 |
| 81003 |
|
351 |
296 |
$415.74 |
| 93000 |
|
42 |
36 |
$396.08 |
| 90480 |
|
39 |
35 |
$340.68 |
| 83525 |
|
39 |
29 |
$324.53 |
| 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 |
12 |
12 |
$147.42 |
| 90686 |
|
15 |
14 |
$115.85 |
| G0008 |
Administration of influenza virus vaccine |
275 |
236 |
$109.58 |
| 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) |
139 |
61 |
$104.81 |
| 99490 |
Ccm add 20min |
16 |
12 |
$82.19 |
| 84550 |
|
18 |
18 |
$70.20 |
| 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 |
14 |
12 |
$41.00 |
| 99415 |
Prolong outpt/office vis |
47 |
46 |
$22.44 |
| 3044F |
|
275 |
213 |
$20.00 |
| 92552 |
|
17 |
14 |
$4.47 |
| 3017F |
|
414 |
377 |
$0.00 |
| 3074F |
|
1,450 |
1,119 |
$0.00 |
| 91301 |
|
450 |
336 |
$0.00 |
| 3079F |
|
764 |
604 |
$0.00 |
| 3075F |
|
290 |
240 |
$0.00 |
| 1170F |
|
74 |
51 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
26 |
$0.00 |
| 1125F |
|
35 |
24 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 90694 |
|
17 |
12 |
$0.00 |
| 3078F |
|
1,117 |
854 |
$0.00 |
| 4040F |
|
133 |
118 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
55 |
52 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
948 |
849 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
382 |
346 |
$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) |
15 |
13 |
$0.00 |
| 91300 |
|
46 |
32 |
$0.00 |
| 90653 |
|
20 |
17 |
$0.00 |
| 2026F |
|
25 |
24 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
19 |
17 |
$0.00 |