| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,294 |
20,955 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,472 |
5,353 |
$20K |
| 99497 |
|
1,662 |
1,650 |
$18K |
| 99454 |
|
1,245 |
1,238 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,738 |
2,494 |
$5K |
| 99457 |
|
1,183 |
1,183 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
595 |
516 |
$4K |
| 99498 |
|
299 |
299 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,309 |
1,251 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,022 |
2,937 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
993 |
988 |
$2K |
| 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 |
136 |
130 |
$2K |
| 96156 |
|
133 |
132 |
$2K |
| 99458 |
|
456 |
456 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
1,721 |
1,715 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,853 |
2,457 |
$2K |
| 99349 |
|
228 |
221 |
$2K |
| 90661 |
|
109 |
109 |
$1K |
| 90688 |
|
1,200 |
1,196 |
$1K |
| 99091 |
|
296 |
296 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
653 |
487 |
$912.31 |
| 99453 |
|
183 |
182 |
$724.14 |
| J0897 |
Injection, denosumab, 1 mg |
262 |
261 |
$624.81 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
74 |
$546.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
479 |
$496.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
316 |
315 |
$453.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,637 |
1,608 |
$417.40 |
| 20610 |
|
98 |
91 |
$408.12 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
747 |
569 |
$402.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$339.10 |
| G0372 |
Physician service required to establish and document the need for a power mobility device |
247 |
243 |
$328.10 |
| 93000 |
|
113 |
111 |
$322.01 |
| 90686 |
|
122 |
122 |
$310.15 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
115 |
110 |
$309.22 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
26 |
$306.06 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
388 |
386 |
$220.51 |
| 3074F |
|
849 |
821 |
$84.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
91 |
89 |
$75.29 |
| 99215 |
Prolong outpt/office vis |
50 |
50 |
$57.20 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
444 |
443 |
$45.79 |
| 1159F |
|
409 |
401 |
$25.00 |
| 99490 |
Ccm add 20min |
75 |
75 |
$19.50 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
86 |
86 |
$14.37 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$14.29 |
| 99407 |
|
41 |
41 |
$7.80 |
| 1157F |
|
203 |
200 |
$0.09 |
| 3008F |
|
1,198 |
1,195 |
$0.04 |
| 1160F |
|
1,240 |
1,175 |
$0.02 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
172 |
172 |
$0.01 |
| G8482 |
Influenza immunization administered or previously received |
1,234 |
1,215 |
$0.00 |
| 2022F |
|
413 |
406 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
585 |
574 |
$0.00 |
| 3078F |
|
667 |
640 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
518 |
515 |
$0.00 |
| 3015F |
|
248 |
248 |
$0.00 |
| 4040F |
|
346 |
332 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
47 |
$0.00 |
| 4004F |
|
27 |
27 |
$0.00 |
| 3288F |
|
31 |
31 |
$0.00 |
| 1003F |
|
148 |
148 |
$0.00 |
| 3725F |
|
34 |
34 |
$0.00 |
| 1090F |
|
28 |
27 |
$0.00 |
| 99491 |
Ccm add 20min |
17 |
17 |
$0.00 |
| 1101F |
|
1,006 |
982 |
$0.00 |
| 1036F |
|
1,982 |
1,958 |
$0.00 |
| 1170F |
|
1,641 |
1,575 |
$0.00 |
| 1126F |
|
508 |
506 |
$0.00 |
| 3079F |
|
541 |
530 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,158 |
1,123 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
823 |
817 |
$0.00 |
| 1125F |
|
871 |
866 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
156 |
155 |
$0.00 |
| 3075F |
|
378 |
368 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
777 |
761 |
$0.00 |
| 99385 |
|
38 |
38 |
$0.00 |
| 3066F |
|
563 |
544 |
$0.00 |
| 3060F |
|
532 |
487 |
$0.00 |
| 90656 |
|
32 |
32 |
$0.00 |
| 3014F |
|
217 |
216 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
96 |
54 |
$0.00 |
| 3017F |
|
1,000 |
987 |
$0.00 |
| 3044F |
|
144 |
134 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 3048F |
|
30 |
30 |
$0.00 |
| 3072F |
|
26 |
26 |
$0.00 |
| 99335 |
|
14 |
13 |
$0.00 |