| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,417 |
29,479 |
$4.21M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,904 |
6,176 |
$788K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,641 |
3,705 |
$545K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,957 |
2,883 |
$296K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,134 |
1,328 |
$250K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,894 |
1,807 |
$243K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,962 |
2,811 |
$179K |
| 11721 |
|
1,098 |
885 |
$130K |
| 99442 |
|
1,050 |
887 |
$121K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
744 |
671 |
$102K |
| 97162 |
|
773 |
726 |
$99K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,932 |
2,395 |
$91K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,664 |
1,473 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
560 |
536 |
$68K |
| 97014 |
|
3,519 |
1,793 |
$55K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
794 |
725 |
$42K |
| 99406 |
|
922 |
839 |
$40K |
| 90791 |
Psychiatric diagnostic evaluation |
197 |
196 |
$38K |
| 97164 |
|
403 |
380 |
$27K |
| 97010 |
|
4,684 |
2,300 |
$25K |
| 99205 |
Prolong outpt/office vis |
234 |
220 |
$23K |
| 20553 |
|
81 |
80 |
$22K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
522 |
72 |
$20K |
| 97802 |
|
699 |
647 |
$18K |
| 97116 |
|
601 |
320 |
$17K |
| 99441 |
|
127 |
115 |
$17K |
| 99000 |
|
665 |
627 |
$11K |
| 11056 |
|
70 |
36 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,450 |
2,274 |
$10K |
| 98968 |
|
75 |
40 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
50 |
48 |
$9K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
66 |
64 |
$9K |
| 99215 |
Prolong outpt/office vis |
125 |
60 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
59 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
283 |
283 |
$6K |
| 20552 |
|
23 |
22 |
$6K |
| 99407 |
|
111 |
104 |
$5K |
| 97161 |
|
42 |
41 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
33 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
32 |
$4K |
| 99408 |
|
154 |
147 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
223 |
$4K |
| 11055 |
|
24 |
12 |
$4K |
| 90756 |
|
111 |
109 |
$3K |
| 80061 |
Lipid panel |
311 |
310 |
$3K |
| 82607 |
|
239 |
239 |
$3K |
| 82746 |
|
240 |
240 |
$3K |
| 99401 |
|
70 |
66 |
$2K |
| 80050 |
General health panel |
135 |
135 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
308 |
307 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
163 |
163 |
$2K |
| 94010 |
|
162 |
158 |
$1K |
| 80053 |
Comprehensive metabolic panel |
198 |
197 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
471 |
453 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
199 |
198 |
$1K |
| 36410 |
|
57 |
56 |
$855.49 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
27 |
$819.66 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
67 |
31 |
$768.94 |
| 97035 |
|
55 |
28 |
$670.37 |
| 81001 |
|
268 |
265 |
$543.12 |
| 99091 |
|
60 |
60 |
$519.34 |
| 99386 |
|
12 |
12 |
$428.90 |
| 84481 |
|
28 |
28 |
$325.40 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19 |
19 |
$271.44 |
| 86803 |
|
23 |
23 |
$209.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
143 |
$196.10 |
| 84153 |
|
14 |
14 |
$168.09 |
| 84439 |
|
28 |
28 |
$163.01 |
| 82043 |
|
39 |
38 |
$151.27 |
| 87340 |
|
14 |
14 |
$104.10 |
| 82962 |
|
101 |
98 |
$73.78 |
| 84436 |
|
13 |
13 |
$52.57 |
| 86592 |
|
18 |
18 |
$47.96 |
| 76942 |
|
13 |
13 |
$44.60 |
| 93000 |
|
16 |
16 |
$38.69 |
| 94760 |
|
19 |
18 |
$3.00 |
| A4657 |
Syringe, with or without needle, each |
45 |
42 |
$2.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
289 |
280 |
$0.02 |
| 3725F |
|
241 |
236 |
$0.02 |
| 3078F |
|
613 |
548 |
$0.00 |
| 1160F |
|
2,837 |
2,397 |
$0.00 |
| 3077F |
|
463 |
409 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
75 |
74 |
$0.00 |
| 1158F |
|
31 |
26 |
$0.00 |
| 99078 |
|
176 |
164 |
$0.00 |
| 1124F |
|
31 |
26 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
47 |
46 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
20 |
17 |
$0.00 |
| 1159F |
|
31 |
26 |
$0.00 |
| 1125F |
|
1,081 |
1,014 |
$0.00 |
| 99606 |
|
15 |
15 |
$0.00 |
| 3044F |
|
470 |
431 |
$0.00 |
| 3074F |
|
706 |
619 |
$0.00 |
| 3008F |
|
1,659 |
1,399 |
$0.00 |
| 3080F |
|
239 |
219 |
$0.00 |
| 1170F |
|
31 |
26 |
$0.00 |
| 3075F |
|
227 |
217 |
$0.00 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
52 |
52 |
$0.00 |
| 3351F |
|
99 |
97 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$0.00 |
| 3079F |
|
298 |
279 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |