| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,844 |
20,855 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,619 |
15,432 |
$905K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12,866 |
5,174 |
$590K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13,023 |
4,767 |
$556K |
| 99051 |
|
17,747 |
13,639 |
$329K |
| 86769 |
|
8,366 |
3,746 |
$327K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,603 |
6,613 |
$299K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,605 |
3,170 |
$245K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,692 |
2,476 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,769 |
3,592 |
$194K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
8,510 |
7,437 |
$165K |
| 99401 |
|
7,418 |
6,073 |
$137K |
| 80305 |
|
14,369 |
12,699 |
$124K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
3,945 |
3,326 |
$120K |
| J3490 |
Unclassified drugs |
8,985 |
2,166 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,942 |
3,777 |
$76K |
| 83880 |
|
3,224 |
2,043 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,565 |
2,477 |
$63K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,988 |
1,483 |
$52K |
| 99406 |
|
5,917 |
4,828 |
$48K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,967 |
6,349 |
$46K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,326 |
2,055 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
20,499 |
14,047 |
$40K |
| 93000 |
|
2,882 |
2,548 |
$40K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,253 |
755 |
$35K |
| 80061 |
Lipid panel |
3,715 |
3,360 |
$35K |
| 99442 |
|
978 |
807 |
$34K |
| 80051 |
|
7,697 |
4,807 |
$33K |
| 99050 |
|
2,183 |
1,664 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,597 |
4,307 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
907 |
887 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
525 |
499 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,957 |
2,600 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,468 |
2,221 |
$29K |
| 82784 |
|
1,645 |
1,430 |
$29K |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
6,776 |
2,930 |
$26K |
| 82607 |
|
2,868 |
2,499 |
$26K |
| 82565 |
|
7,788 |
4,855 |
$25K |
| 84450 |
|
7,778 |
4,846 |
$25K |
| 82310 |
|
7,780 |
4,848 |
$25K |
| 82247 |
|
7,773 |
4,846 |
$24K |
| 84460 |
|
7,791 |
4,848 |
$23K |
| 82040 |
|
7,772 |
4,840 |
$23K |
| 84075 |
|
7,762 |
4,840 |
$23K |
| 82746 |
|
2,294 |
2,010 |
$20K |
| 84520 |
|
7,787 |
4,851 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
709 |
637 |
$18K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,803 |
5,264 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
323 |
303 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
659 |
625 |
$17K |
| 84155 |
|
7,774 |
4,847 |
$17K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,055 |
1,303 |
$17K |
| 94016 |
|
1,184 |
1,054 |
$15K |
| 94010 |
|
911 |
856 |
$15K |
| 83735 |
|
3,474 |
1,946 |
$14K |
| 82552 |
|
1,575 |
1,163 |
$13K |
| 84484 |
|
1,609 |
1,181 |
$12K |
| 83874 |
|
1,634 |
1,180 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,567 |
2,411 |
$10K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
4,730 |
2,124 |
$10K |
| 96127 |
|
2,741 |
2,529 |
$10K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
6,764 |
3,618 |
$10K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
721 |
346 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
473 |
444 |
$8K |
| 83550 |
|
1,463 |
1,289 |
$8K |
| 99201 |
|
404 |
367 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,259 |
4,083 |
$7K |
| 99441 |
|
294 |
255 |
$7K |
| 83540 |
|
1,675 |
1,472 |
$7K |
| 82550 |
|
1,568 |
1,161 |
$6K |
| 80053 |
Comprehensive metabolic panel |
751 |
532 |
$6K |
| 94060 |
|
123 |
102 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
98 |
84 |
$5K |
| 85049 |
|
2,173 |
1,269 |
$4K |
| 0001A |
|
47 |
46 |
$4K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
3,801 |
1,603 |
$4K |
| J0456 |
Injection, azithromycin, 500 mg |
1,662 |
696 |
$4K |
| 82728 |
|
473 |
415 |
$4K |
| 81003 |
|
2,246 |
1,951 |
$4K |
| 90674 |
|
149 |
143 |
$3K |
| 86703 |
|
490 |
386 |
$3K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,646 |
543 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
7,940 |
3,323 |
$3K |
| 82553 |
|
1,551 |
1,145 |
$3K |
| 87807 |
|
364 |
307 |
$3K |
| 99384 |
|
41 |
39 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
139 |
102 |
$3K |
| 90688 |
|
206 |
194 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,770 |
1,632 |
$3K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
624 |
556 |
$3K |
| 0003A |
|
35 |
32 |
$3K |
| 99385 |
|
42 |
41 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
105 |
50 |
$3K |
| 85041 |
|
2,052 |
1,215 |
$2K |
| 96367 |
|
108 |
67 |
$2K |
| 85014 |
|
2,168 |
1,267 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,418 |
814 |
$2K |
| 85018 |
|
2,169 |
1,268 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,324 |
3,744 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
123 |
89 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
173 |
151 |
$2K |
| 87905 |
|
242 |
205 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
284 |
140 |
$2K |
| 82043 |
|
308 |
282 |
$2K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
60 |
36 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
99 |
$1K |
| 86677 |
|
167 |
139 |
$1K |
| 83721 |
|
225 |
212 |
$1K |
| 86780 |
|
176 |
128 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
33 |
18 |
$1K |
| 85048 |
|
2,071 |
1,153 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
42 |
40 |
$1K |
| 86318 |
|
102 |
89 |
$1K |
| J1940 |
Injection, furosemide, up to 20 mg |
1,224 |
430 |
$1K |
| 93923 |
|
14 |
12 |
$1K |
| 0013A |
|
17 |
14 |
$1K |
| 84436 |
|
455 |
407 |
$1K |
| 83690 |
|
285 |
255 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
39 |
38 |
$959.41 |
| 90715 |
|
26 |
26 |
$852.16 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
110 |
38 |
$807.01 |
| S0028 |
Injection, famotidine, 20 mg |
3,842 |
1,714 |
$593.64 |
| 81025 |
|
124 |
115 |
$538.93 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
27 |
26 |
$538.26 |
| 82150 |
|
291 |
256 |
$512.05 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
239 |
132 |
$502.16 |
| 82947 |
|
112 |
108 |
$432.70 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$406.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$341.15 |
| 87899 |
|
132 |
123 |
$273.45 |
| 83718 |
|
224 |
210 |
$210.31 |
| 86580 |
|
34 |
27 |
$184.57 |
| 82465 |
|
199 |
194 |
$169.30 |
| 84478 |
|
225 |
210 |
$152.17 |
| 94375 |
|
136 |
126 |
$135.60 |
| 85380 |
|
14 |
12 |
$131.38 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,387 |
917 |
$128.31 |
| J3411 |
Injection, thiamine hcl, 100 mg |
27 |
18 |
$123.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
105 |
66 |
$115.04 |
| 94664 |
|
18 |
14 |
$88.18 |
| 84550 |
|
29 |
29 |
$81.86 |
| 85007 |
|
28 |
12 |
$79.80 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$75.04 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
446 |
269 |
$65.13 |
| 3044F |
|
189 |
126 |
$40.00 |
| 36416 |
|
12 |
12 |
$30.30 |
| 99408 |
|
277 |
248 |
$20.24 |
| J1956 |
Injection, levofloxacin, 250 mg |
31 |
14 |
$12.43 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
16 |
13 |
$7.90 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
85 |
54 |
$5.56 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
61 |
56 |
$2.83 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
31 |
16 |
$0.40 |
| 91300 |
|
168 |
144 |
$0.32 |
| 3017F |
|
1,324 |
826 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,137 |
728 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
942 |
608 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
525 |
323 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
566 |
535 |
$0.00 |
| 3008F |
|
2,198 |
1,351 |
$0.00 |
| 1125F |
|
37 |
26 |
$0.00 |
| 1036F |
|
49 |
42 |
$0.00 |
| 94760 |
|
35 |
26 |
$0.00 |
| 3079F |
|
151 |
110 |
$0.00 |
| 1111F |
|
2,359 |
1,442 |
$0.00 |
| 3075F |
|
124 |
85 |
$0.00 |
| 3080F |
|
184 |
143 |
$0.00 |
| J7615 |
Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg |
151 |
98 |
$0.00 |
| 91301 |
|
22 |
18 |
$0.00 |
| 3074F |
|
157 |
120 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
62 |
54 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
64 |
54 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
34 |
31 |
$0.00 |
| 94761 |
|
14 |
12 |
$0.00 |
| J7616 |
|
31 |
15 |
$0.00 |
| 4004F |
|
1,260 |
814 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
340 |
256 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
180 |
125 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,280 |
850 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,001 |
1,312 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
692 |
455 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
176 |
102 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
152 |
134 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
72 |
66 |
$0.00 |
| 3077F |
|
235 |
188 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
257 |
228 |
$0.00 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
75 |
72 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
75 |
66 |
$0.00 |
| 3078F |
|
180 |
135 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
32 |
32 |
$0.00 |
| 99359 |
Prolong nursin fac eval 15m |
13 |
13 |
$0.00 |