| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93,438 |
87,449 |
$5.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,917 |
56,064 |
$4.25M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,662 |
21,860 |
$2.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,204 |
17,819 |
$1.80M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,298 |
13,837 |
$635K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,821 |
25,299 |
$556K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,078 |
25,444 |
$425K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,163 |
4,048 |
$408K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,913 |
16,374 |
$255K |
| 87428 |
|
3,172 |
3,134 |
$222K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,642 |
1,603 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,780 |
1,699 |
$151K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,778 |
4,579 |
$140K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,760 |
7,443 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,871 |
2,736 |
$89K |
| 99429 |
|
6,278 |
3,845 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,870 |
1,780 |
$74K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,171 |
1,083 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,821 |
1,785 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
453 |
429 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
428 |
412 |
$45K |
| 99460 |
|
475 |
467 |
$40K |
| 93000 |
|
3,363 |
3,194 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
490 |
364 |
$36K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
535 |
522 |
$35K |
| 85018 |
|
11,230 |
10,875 |
$32K |
| 90474 |
|
2,518 |
2,463 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,087 |
428 |
$29K |
| 59025 |
Fetal non-stress test |
863 |
632 |
$28K |
| 99215 |
Prolong outpt/office vis |
426 |
395 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,593 |
1,572 |
$23K |
| 81025 |
|
2,947 |
2,830 |
$23K |
| 97802 |
|
13,303 |
12,998 |
$19K |
| 90461 |
|
2,922 |
2,789 |
$16K |
| 96127 |
|
2,739 |
2,643 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
115 |
112 |
$11K |
| 87807 |
|
683 |
669 |
$11K |
| 96161 |
|
2,437 |
2,388 |
$10K |
| 76830 |
Ultrasound, transvaginal |
128 |
125 |
$9K |
| 87070 |
|
1,467 |
1,429 |
$9K |
| 54150 |
|
92 |
90 |
$8K |
| 99462 |
|
204 |
149 |
$8K |
| 99205 |
Prolong outpt/office vis |
93 |
89 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
502 |
458 |
$7K |
| 93458 |
|
41 |
40 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
99 |
85 |
$6K |
| 99381 |
|
62 |
58 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
99 |
$6K |
| 76801 |
|
86 |
80 |
$5K |
| 92567 |
|
292 |
262 |
$5K |
| 81003 |
|
1,599 |
1,527 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
645 |
634 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
66 |
52 |
$4K |
| 88720 |
|
1,060 |
889 |
$4K |
| 99188 |
|
165 |
161 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
110 |
87 |
$3K |
| 93018 |
|
254 |
235 |
$2K |
| 90688 |
|
2,160 |
2,121 |
$2K |
| 81002 |
|
652 |
509 |
$2K |
| 90670 |
|
12,363 |
12,023 |
$2K |
| 99406 |
|
512 |
481 |
$2K |
| 99408 |
|
88 |
84 |
$1K |
| 90677 |
|
1,705 |
1,654 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
43 |
42 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
69 |
60 |
$1K |
| 70210 |
|
49 |
46 |
$1K |
| 95117 |
|
58 |
48 |
$975.14 |
| 99173 |
|
446 |
430 |
$725.36 |
| 90680 |
|
7,550 |
7,352 |
$721.26 |
| 99152 |
|
127 |
103 |
$715.00 |
| 92551 |
|
217 |
213 |
$610.82 |
| 36416 |
|
9,482 |
9,110 |
$584.37 |
| 81000 |
|
252 |
207 |
$582.25 |
| 83655 |
|
52 |
52 |
$535.70 |
| 82962 |
|
230 |
209 |
$428.01 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
31 |
25 |
$426.25 |
| 0503F |
|
13 |
12 |
$400.00 |
| 90698 |
|
5,058 |
4,899 |
$367.02 |
| 90697 |
|
1,013 |
956 |
$342.22 |
| 93922 |
|
13 |
13 |
$334.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$284.35 |
| 90633 |
|
3,139 |
3,070 |
$266.19 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,733 |
2,602 |
$255.00 |
| 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) |
223 |
208 |
$252.00 |
| 0500F |
|
16 |
14 |
$225.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$93.46 |
| 51798 |
|
12 |
12 |
$65.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
71 |
68 |
$54.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$20.00 |
| 90686 |
|
1,792 |
1,757 |
$19.15 |
| 90647 |
|
1,747 |
1,703 |
$3.82 |
| 90723 |
|
2,062 |
2,011 |
$0.41 |
| 90687 |
|
32 |
30 |
$0.03 |
| 0502F |
|
3,451 |
2,964 |
$0.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
5,298 |
4,978 |
$0.00 |
| 90716 |
|
179 |
176 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,192 |
3,967 |
$0.00 |
| 1036F |
|
11,264 |
10,429 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
412 |
377 |
$0.00 |
| 1000F |
|
1,433 |
1,340 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
651 |
573 |
$0.00 |
| 90744 |
|
1,803 |
1,707 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,775 |
3,483 |
$0.00 |
| 99024 |
|
381 |
297 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,602 |
1,507 |
$0.00 |
| 3044F |
|
150 |
139 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
695 |
655 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
252 |
233 |
$0.00 |
| 90696 |
|
130 |
124 |
$0.00 |
| 3061F |
|
18 |
15 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
12 |
$0.00 |
| 90656 |
|
134 |
133 |
$0.00 |
| 1170F |
|
102 |
85 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
142 |
130 |
$0.00 |
| 90651 |
|
279 |
270 |
$0.00 |
| 90619 |
|
144 |
140 |
$0.00 |
| 3079F |
|
59 |
54 |
$0.00 |
| 90620 |
|
96 |
94 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
25 |
25 |
$0.00 |
| 0501F |
|
41 |
29 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,389 |
2,218 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12,588 |
11,455 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
44 |
43 |
$0.00 |
| 90710 |
|
387 |
379 |
$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) |
590 |
549 |
$0.00 |
| 90734 |
|
372 |
352 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,136 |
1,032 |
$0.00 |
| 90715 |
|
86 |
81 |
$0.00 |
| 1090F |
|
596 |
529 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
112 |
100 |
$0.00 |
| 90707 |
|
194 |
190 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
446 |
388 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
386 |
325 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
681 |
602 |
$0.00 |
| 90648 |
|
148 |
137 |
$0.00 |
| 90681 |
|
47 |
46 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$0.00 |
| 1159F |
|
314 |
299 |
$0.00 |
| 90700 |
|
62 |
60 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
126 |
109 |
$0.00 |
| 90671 |
|
55 |
53 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
38 |
38 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |
| 99177 |
|
29 |
29 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |