| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,863 |
57,516 |
$1.42M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
39,276 |
23,767 |
$454K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,019 |
17,716 |
$287K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17,988 |
13,658 |
$176K |
| 99397 |
|
684 |
667 |
$74K |
| 99349 |
|
1,515 |
1,084 |
$27K |
| 99306 |
Prolong nursin fac eval 15m |
1,081 |
1,027 |
$20K |
| 99310 |
Prolong nursin fac eval 15m |
1,418 |
1,038 |
$19K |
| 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) |
4,468 |
4,205 |
$18K |
| 99305 |
|
624 |
606 |
$15K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,286 |
1,211 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
415 |
412 |
$11K |
| G0179 |
Physician or allowed practitioner re-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 |
1,216 |
1,207 |
$10K |
| 99336 |
|
1,691 |
1,299 |
$9K |
| 99335 |
|
1,809 |
1,321 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,331 |
4,237 |
$8K |
| 99215 |
Prolong outpt/office vis |
474 |
456 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,549 |
2,418 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,578 |
2,531 |
$6K |
| 90662 |
|
1,005 |
875 |
$6K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
503 |
476 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
466 |
463 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
1,836 |
1,660 |
$4K |
| 90686 |
|
376 |
363 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
659 |
637 |
$3K |
| 99497 |
|
163 |
145 |
$3K |
| 99307 |
|
392 |
348 |
$2K |
| 99318 |
|
66 |
66 |
$2K |
| 99442 |
|
188 |
143 |
$2K |
| 82947 |
|
867 |
819 |
$2K |
| 99348 |
|
96 |
79 |
$2K |
| 99443 |
|
128 |
110 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,322 |
1,263 |
$1K |
| 96127 |
|
1,280 |
1,141 |
$1K |
| 36416 |
|
481 |
433 |
$936.21 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$930.80 |
| 90688 |
|
280 |
257 |
$782.77 |
| 99350 |
Prolong home eval add 15m |
85 |
76 |
$703.15 |
| 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 |
32 |
28 |
$491.38 |
| 94760 |
|
1,053 |
948 |
$456.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$380.68 |
| 96160 |
|
92 |
88 |
$345.16 |
| 90656 |
|
27 |
27 |
$336.11 |
| 92551 |
|
29 |
27 |
$284.46 |
| 99173 |
|
16 |
15 |
$259.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$235.58 |
| 99334 |
|
33 |
28 |
$230.05 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$190.22 |
| 90677 |
|
14 |
14 |
$174.86 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
12 |
12 |
$108.60 |
| 93000 |
|
16 |
14 |
$108.30 |
| 90750 |
|
35 |
28 |
$105.15 |
| 81003 |
|
25 |
25 |
$34.27 |
| 99406 |
|
46 |
41 |
$7.63 |
| 99337 |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |