| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,555 |
10,426 |
$706K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,053 |
4,522 |
$244K |
| 72141 |
|
719 |
668 |
$143K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
568 |
531 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
936 |
874 |
$91K |
| 95886 |
|
375 |
347 |
$49K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
607 |
381 |
$45K |
| 95910 |
|
105 |
102 |
$17K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
82 |
71 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,423 |
1,257 |
$13K |
| 80061 |
Lipid panel |
1,342 |
1,196 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,564 |
1,447 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,417 |
2,092 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
563 |
495 |
$7K |
| 22853 |
|
17 |
13 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,587 |
1,406 |
$7K |
| 84439 |
|
1,191 |
1,051 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
305 |
94 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
172 |
157 |
$5K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,008 |
925 |
$4K |
| 99215 |
Prolong outpt/office vis |
73 |
65 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
931 |
811 |
$4K |
| 72146 |
|
27 |
25 |
$4K |
| 95912 |
|
17 |
16 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$3K |
| 80053 |
Comprehensive metabolic panel |
642 |
571 |
$3K |
| 72158 |
|
12 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
42 |
$3K |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
651 |
610 |
$3K |
| 80076 |
|
721 |
632 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
133 |
123 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
57 |
$2K |
| 99205 |
Prolong outpt/office vis |
32 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
65 |
$2K |
| 90686 |
|
103 |
99 |
$1K |
| 82607 |
|
175 |
157 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
178 |
53 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$1K |
| 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) |
382 |
347 |
$1K |
| 81001 |
|
628 |
546 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$729.12 |
| 80050 |
General health panel |
34 |
26 |
$702.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
90 |
$401.40 |
| 95251 |
|
53 |
48 |
$306.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
31 |
$258.11 |
| 1036F |
|
301 |
283 |
$238.34 |
| 82043 |
|
62 |
57 |
$232.40 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
141 |
132 |
$228.75 |
| 82570 |
|
62 |
57 |
$218.05 |
| 87428 |
|
18 |
12 |
$216.39 |
| 83540 |
|
44 |
41 |
$188.28 |
| 4004F |
|
44 |
42 |
$115.83 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
67 |
62 |
$109.65 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
73 |
67 |
$109.65 |
| 99406 |
|
12 |
12 |
$84.12 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
12 |
12 |
$80.82 |
| 83735 |
|
13 |
12 |
$60.78 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
63 |
62 |
$35.01 |
| 82962 |
|
165 |
157 |
$18.18 |
| 3074F |
|
34 |
34 |
$0.04 |
| 3078F |
|
50 |
50 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
519 |
464 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
109 |
97 |
$0.00 |
| 1101F |
|
240 |
208 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
105 |
104 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |