| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,312 |
28,121 |
$2.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,998 |
22,988 |
$1.25M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,382 |
5,368 |
$510K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,286 |
3,270 |
$279K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
881 |
874 |
$100K |
| 99385 |
|
875 |
875 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
802 |
801 |
$57K |
| 99442 |
|
1,205 |
1,151 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
421 |
373 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,851 |
6,255 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
13,222 |
12,507 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,138 |
3,101 |
$30K |
| 99443 |
|
496 |
483 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
768 |
268 |
$30K |
| 93000 |
|
3,708 |
3,643 |
$27K |
| 99386 |
|
206 |
206 |
$24K |
| 90686 |
|
1,296 |
1,292 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
785 |
749 |
$23K |
| 90674 |
|
682 |
676 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
315 |
168 |
$16K |
| 99215 |
Prolong outpt/office vis |
165 |
158 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,029 |
1,989 |
$10K |
| 76830 |
Ultrasound, transvaginal |
142 |
141 |
$10K |
| 90677 |
|
113 |
111 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
926 |
893 |
$9K |
| 99406 |
|
1,317 |
1,265 |
$9K |
| 87428 |
|
212 |
210 |
$6K |
| 90656 |
|
302 |
294 |
$5K |
| 90661 |
|
163 |
161 |
$4K |
| 81002 |
|
2,031 |
1,958 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$4K |
| 90732 |
|
63 |
63 |
$4K |
| 0002A |
|
104 |
104 |
$4K |
| 0001A |
|
111 |
111 |
$4K |
| 90715 |
|
98 |
97 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
4,464 |
4,161 |
$3K |
| 80305 |
|
435 |
418 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
151 |
107 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
52 |
43 |
$3K |
| 81003 |
|
1,823 |
1,801 |
$3K |
| 90662 |
|
434 |
426 |
$2K |
| 20610 |
|
55 |
49 |
$2K |
| 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) |
743 |
704 |
$2K |
| 81025 |
|
267 |
264 |
$2K |
| 99497 |
|
826 |
811 |
$2K |
| 99441 |
|
202 |
188 |
$2K |
| 90756 |
|
67 |
67 |
$1K |
| 94010 |
|
72 |
69 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
62 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
78 |
$1K |
| 90670 |
|
13 |
13 |
$980.54 |
| G0008 |
Administration of influenza virus vaccine |
835 |
803 |
$887.60 |
| 90658 |
|
49 |
49 |
$749.87 |
| 90682 |
|
15 |
15 |
$733.73 |
| 83037 |
|
133 |
132 |
$720.63 |
| 96127 |
|
224 |
221 |
$573.34 |
| 82962 |
|
390 |
377 |
$541.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
466 |
447 |
$536.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$394.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$344.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
61 |
59 |
$214.05 |
| 90688 |
|
13 |
13 |
$201.10 |
| 99000 |
|
1,336 |
1,264 |
$140.47 |
| 82947 |
|
61 |
58 |
$99.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$76.61 |
| G0009 |
Administration of pneumococcal vaccine |
89 |
87 |
$72.33 |
| 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 |
14 |
13 |
$56.84 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
28 |
25 |
$18.24 |
| 1160F |
|
17,792 |
16,182 |
$2.23 |
| 1159F |
|
15,922 |
14,465 |
$2.23 |
| 3075F |
|
5,182 |
5,048 |
$2.23 |
| 3079F |
|
8,946 |
8,647 |
$2.23 |
| 1034F |
|
4,378 |
3,887 |
$2.23 |
| 36416 |
|
387 |
371 |
$1.25 |
| 99499 |
|
169 |
168 |
$0.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,037 |
1,013 |
$0.12 |
| 3078F |
|
18,893 |
17,960 |
$0.00 |
| 91300 |
|
108 |
108 |
$0.00 |
| 3051F |
|
537 |
531 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
523 |
505 |
$0.00 |
| 3046F |
|
115 |
113 |
$0.00 |
| 3288F |
|
784 |
620 |
$0.00 |
| 3077F |
|
4,077 |
3,919 |
$0.00 |
| 3725F |
|
12,300 |
11,727 |
$0.00 |
| 2028F |
|
197 |
196 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
647 |
626 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
28 |
27 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 3045F |
|
219 |
209 |
$0.00 |
| 0502F |
|
585 |
372 |
$0.00 |
| 3044F |
|
8,384 |
8,288 |
$0.00 |
| 4000F |
|
17 |
15 |
$0.00 |
| 1125F |
|
1,260 |
1,218 |
$0.00 |
| 3080F |
|
2,268 |
2,175 |
$0.00 |
| 3008F |
|
23,693 |
22,137 |
$0.00 |
| 3074F |
|
20,951 |
19,900 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,497 |
11,073 |
$0.00 |
| 1036F |
|
24,530 |
21,539 |
$0.00 |
| 1126F |
|
1,832 |
1,801 |
$0.00 |
| 1035F |
|
409 |
370 |
$0.00 |
| 3048F |
|
166 |
163 |
$0.00 |
| 3052F |
|
51 |
51 |
$0.00 |
| 3049F |
|
30 |
30 |
$0.00 |