| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,756 |
44,886 |
$4.60M |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
32,122 |
26,414 |
$1.01M |
| 99497 |
|
10,072 |
9,994 |
$935K |
| 99215 |
Prolong outpt/office vis |
4,416 |
4,232 |
$469K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
7,029 |
6,986 |
$403K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
12,677 |
7,915 |
$336K |
| 99205 |
Prolong outpt/office vis |
1,691 |
1,659 |
$305K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
11,150 |
11,055 |
$266K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
2,694 |
2,659 |
$227K |
| 90651 |
|
877 |
875 |
$222K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
6,346 |
6,288 |
$200K |
| 99406 |
|
12,347 |
11,883 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,126 |
1,125 |
$156K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,907 |
9,097 |
$133K |
| 90739 |
|
1,017 |
1,011 |
$127K |
| 90750 |
|
736 |
733 |
$124K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
662 |
655 |
$116K |
| G9012 |
Other specified case management service not elsewhere classified |
8,098 |
5,511 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,517 |
1,324 |
$108K |
| G9920 |
Screening performed and negative |
5,082 |
4,938 |
$101K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
608 |
603 |
$90K |
| 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 |
5,286 |
4,948 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,651 |
1,482 |
$60K |
| 90756 |
|
2,269 |
2,214 |
$55K |
| 99490 |
Ccm add 20min |
3,221 |
3,219 |
$51K |
| 90677 |
|
319 |
318 |
$49K |
| 90746 |
|
878 |
790 |
$44K |
| 99458 |
|
467 |
462 |
$43K |
| 99386 |
|
162 |
159 |
$43K |
| 99457 |
|
637 |
630 |
$40K |
| 99385 |
|
181 |
180 |
$37K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,017 |
2,926 |
$34K |
| 90715 |
|
811 |
767 |
$33K |
| 99439 |
|
889 |
889 |
$32K |
| 93000 |
|
1,946 |
1,888 |
$29K |
| 99454 |
|
365 |
361 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,277 |
1,075 |
$23K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
814 |
804 |
$13K |
| 90632 |
|
216 |
186 |
$13K |
| 90661 |
|
376 |
376 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
859 |
852 |
$12K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
277 |
264 |
$7K |
| 99496 |
|
38 |
38 |
$6K |
| 82570 |
|
905 |
879 |
$5K |
| 99423 |
|
520 |
498 |
$4K |
| 90653 |
|
165 |
163 |
$4K |
| 81002 |
|
1,152 |
1,101 |
$4K |
| 90707 |
|
43 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
223 |
$3K |
| 82044 |
|
555 |
528 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
135 |
112 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
164 |
$3K |
| 90694 |
|
155 |
155 |
$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) |
487 |
426 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
38 |
38 |
$2K |
| 82043 |
|
224 |
220 |
$2K |
| 88141 |
|
32 |
13 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
15 |
15 |
$2K |
| 90744 |
|
64 |
63 |
$2K |
| 99417 |
Prolong home eval add 15m |
27 |
24 |
$2K |
| 99487 |
Ccm add 20min |
42 |
42 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
51 |
28 |
$1K |
| 94010 |
|
27 |
27 |
$754.28 |
| 99306 |
Prolong nursin fac eval 15m |
17 |
17 |
$602.19 |
| 90662 |
|
35 |
35 |
$587.89 |
| 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 |
13 |
12 |
$587.87 |
| 90633 |
|
16 |
14 |
$581.28 |
| 96127 |
|
314 |
313 |
$581.08 |
| 99453 |
|
33 |
33 |
$531.87 |
| 99310 |
Prolong nursin fac eval 15m |
22 |
12 |
$463.32 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
12 |
12 |
$372.70 |
| 99489 |
Ccm add 20min |
27 |
27 |
$159.09 |
| G0008 |
Administration of influenza virus vaccine |
240 |
240 |
$150.00 |
| 3074F |
|
146 |
141 |
$64.06 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$24.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
29 |
$15.87 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$12.83 |
| 1159F |
|
5,286 |
5,257 |
$0.00 |
| 3046F |
|
436 |
389 |
$0.00 |
| 1158F |
|
5,340 |
5,309 |
$0.00 |
| 99401 |
|
357 |
353 |
$0.00 |
| 1160F |
|
5,011 |
4,985 |
$0.00 |
| 1100F |
|
49 |
48 |
$0.00 |
| 3078F |
|
280 |
271 |
$0.00 |
| 3288F |
|
31 |
30 |
$0.00 |
| 1220F |
|
4,851 |
4,815 |
$0.00 |
| 3044F |
|
285 |
258 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,288 |
6,150 |
$0.00 |
| 1125F |
|
1,440 |
1,437 |
$0.00 |
| 3079F |
|
64 |
64 |
$0.00 |
| 1157F |
|
412 |
411 |
$0.00 |
| 1126F |
|
3,333 |
3,323 |
$0.00 |
| 2000F |
|
4,785 |
4,325 |
$0.00 |
| 3008F |
|
26,222 |
22,040 |
$0.00 |
| 1170F |
|
2,414 |
2,372 |
$0.00 |
| 1111F |
|
81 |
80 |
$0.00 |
| 3061F |
|
198 |
179 |
$0.00 |
| 3048F |
|
158 |
158 |
$0.00 |
| 3072F |
|
28 |
26 |
$0.00 |
| 3066F |
|
26 |
23 |
$0.00 |