| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,666 |
18,357 |
$848K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,431 |
6,563 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,638 |
2,977 |
$120K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,104 |
1,269 |
$86K |
| 94010 |
|
5,371 |
4,535 |
$79K |
| 99223 |
Prolong inpt eval add15 m |
1,509 |
1,267 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,392 |
1,145 |
$58K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,450 |
3,823 |
$50K |
| 93922 |
|
1,064 |
928 |
$36K |
| 99220 |
|
353 |
285 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
338 |
297 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
401 |
354 |
$8K |
| 99217 |
|
308 |
246 |
$7K |
| 69210 |
|
494 |
406 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
756 |
690 |
$7K |
| 82962 |
|
4,627 |
2,594 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
5,332 |
3,218 |
$4K |
| 93224 |
|
68 |
56 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,360 |
3,376 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
165 |
135 |
$4K |
| 99497 |
|
1,031 |
703 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
509 |
423 |
$3K |
| 87430 |
|
474 |
415 |
$3K |
| 99496 |
|
73 |
52 |
$3K |
| 99225 |
|
191 |
82 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
188 |
162 |
$3K |
| 90756 |
|
261 |
220 |
$3K |
| 94664 |
|
467 |
324 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,724 |
5,603 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$1K |
| 99221 |
|
27 |
26 |
$792.69 |
| 3008F |
|
2,903 |
2,350 |
$770.28 |
| 81000 |
|
367 |
282 |
$718.02 |
| 1160F |
|
2,014 |
1,599 |
$600.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,093 |
745 |
$562.52 |
| 3074F |
|
1,906 |
1,514 |
$510.00 |
| 99397 |
|
431 |
295 |
$372.98 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
146 |
107 |
$239.57 |
| 94760 |
|
109 |
78 |
$232.51 |
| 1159F |
|
820 |
564 |
$220.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,066 |
2,030 |
$184.17 |
| 1158F |
|
560 |
387 |
$150.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
80 |
62 |
$149.97 |
| 93000 |
|
18 |
13 |
$134.44 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$95.28 |
| 82570 |
|
67 |
54 |
$84.96 |
| 3078F |
|
1,560 |
1,269 |
$60.00 |
| G0104 |
Colorectal cancer screening; flexible sigmoidoscopy |
63 |
46 |
$45.09 |
| G0008 |
Administration of influenza virus vaccine |
86 |
74 |
$38.13 |
| 99401 |
|
248 |
166 |
$33.38 |
| 96160 |
|
113 |
78 |
$28.35 |
| 82948 |
|
18 |
14 |
$9.38 |
| G0130 |
Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) |
15 |
12 |
$5.00 |
| 3014F |
|
1,033 |
773 |
$0.00 |
| 3079F |
|
447 |
315 |
$0.00 |
| 3075F |
|
161 |
115 |
$0.00 |
| 1125F |
|
1,150 |
926 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,048 |
851 |
$0.00 |
| 1036F |
|
1,293 |
1,046 |
$0.00 |
| 3017F |
|
1,653 |
1,267 |
$0.00 |
| 3049F |
|
47 |
38 |
$0.00 |
| 3080F |
|
18 |
13 |
$0.00 |
| 4010F |
|
43 |
34 |
$0.00 |
| 1170F |
|
23 |
17 |
$0.00 |
| 3048F |
|
58 |
38 |
$0.00 |
| 1111F |
|
33 |
26 |
$0.00 |
| 96161 |
|
25 |
15 |
$0.00 |
| 3016F |
|
2,728 |
2,186 |
$0.00 |
| 4274F |
|
1,607 |
1,294 |
$0.00 |
| 1090F |
|
578 |
399 |
$0.00 |
| 3077F |
|
93 |
72 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,169 |
950 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
162 |
111 |
$0.00 |
| 3095F |
|
198 |
129 |
$0.00 |
| 1100F |
|
517 |
349 |
$0.00 |
| 4004F |
|
844 |
683 |
$0.00 |
| 4040F |
|
1,144 |
867 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
103 |
70 |
$0.00 |
| 99605 |
|
68 |
49 |
$0.00 |
| 3050F |
|
30 |
24 |
$0.00 |
| 2022F |
|
15 |
12 |
$0.00 |