| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112,331 |
89,918 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,963 |
79,257 |
$3.06M |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
8,405 |
6,012 |
$1.47M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43,531 |
18,689 |
$396K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,833 |
9,120 |
$390K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,859 |
8,199 |
$376K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39,663 |
34,264 |
$337K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,943 |
5,786 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,838 |
3,401 |
$253K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24,158 |
19,046 |
$245K |
| 99490 |
Ccm add 20min |
32,810 |
28,376 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,936 |
2,516 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,172 |
2,636 |
$179K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,388 |
4,107 |
$112K |
| 99406 |
|
21,471 |
16,953 |
$111K |
| 96160 |
|
5,608 |
3,749 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,514 |
1,225 |
$106K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12,061 |
10,820 |
$96K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,749 |
2,382 |
$88K |
| H2010 |
Comprehensive medication services, per 15 minutes |
1,273 |
639 |
$82K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
300 |
159 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
903 |
785 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
974 |
843 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,215 |
1,019 |
$56K |
| 99307 |
|
4,785 |
4,216 |
$49K |
| 96127 |
|
9,839 |
8,139 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
951 |
805 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,668 |
1,506 |
$38K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,559 |
2,867 |
$37K |
| 94729 |
|
2,809 |
2,142 |
$36K |
| 92551 |
|
5,056 |
4,184 |
$32K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,079 |
727 |
$29K |
| 99173 |
|
5,478 |
4,544 |
$28K |
| 94727 |
|
2,759 |
2,114 |
$28K |
| 99215 |
Prolong outpt/office vis |
528 |
429 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
457 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,867 |
1,306 |
$24K |
| 3008F |
|
25,378 |
20,510 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
455 |
307 |
$17K |
| 92250 |
|
854 |
742 |
$16K |
| 94375 |
|
1,824 |
1,432 |
$16K |
| 90686 |
|
2,531 |
2,093 |
$16K |
| 81003 |
|
10,066 |
8,360 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
92 |
71 |
$12K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,632 |
2,273 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,318 |
1,060 |
$10K |
| H0033 |
Oral medication administration, direct observation |
67 |
57 |
$10K |
| 96161 |
|
593 |
421 |
$8K |
| 20610 |
|
253 |
164 |
$6K |
| 59426 |
|
14 |
14 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
54 |
54 |
$6K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
28 |
25 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
98 |
71 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
201 |
184 |
$5K |
| 94760 |
|
1,651 |
1,369 |
$4K |
| 99205 |
Prolong outpt/office vis |
57 |
44 |
$3K |
| 99401 |
|
144 |
124 |
$3K |
| 59425 |
|
14 |
14 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,675 |
2,997 |
$3K |
| 95886 |
|
36 |
29 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
87 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,773 |
1,515 |
$3K |
| 73630 |
|
396 |
261 |
$3K |
| 93000 |
|
354 |
287 |
$3K |
| 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 |
258 |
223 |
$2K |
| 97802 |
|
515 |
433 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
626 |
488 |
$2K |
| 3074F |
|
27,305 |
23,016 |
$2K |
| 81025 |
|
422 |
348 |
$2K |
| 95117 |
|
203 |
101 |
$2K |
| 3078F |
|
21,369 |
18,106 |
$2K |
| 90651 |
|
331 |
271 |
$2K |
| 94060 |
|
95 |
86 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
70 |
65 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
209 |
156 |
$1K |
| 3079F |
|
10,830 |
9,350 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,111 |
3,536 |
$1K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,221 |
885 |
$1K |
| 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 |
149 |
128 |
$1K |
| 87807 |
|
102 |
97 |
$968.19 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$955.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,271 |
923 |
$900.40 |
| 99497 |
|
1,147 |
816 |
$893.64 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
119 |
101 |
$882.93 |
| 72100 |
|
104 |
85 |
$839.05 |
| 99381 |
|
15 |
13 |
$795.21 |
| 90670 |
|
2,281 |
1,972 |
$743.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
40 |
$594.42 |
| 90656 |
|
77 |
62 |
$587.60 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
110 |
102 |
$578.71 |
| 90734 |
|
245 |
184 |
$540.00 |
| 99441 |
|
36 |
34 |
$532.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,080 |
770 |
$477.66 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$454.14 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,569 |
1,133 |
$449.74 |
| 99487 |
Ccm add 20min |
97 |
92 |
$413.87 |
| 3075F |
|
3,574 |
3,119 |
$407.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
113 |
98 |
$399.08 |
| 90698 |
|
2,181 |
1,850 |
$361.99 |
| 1125F |
|
2,937 |
2,348 |
$353.46 |
| 90677 |
|
345 |
265 |
$321.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
231 |
205 |
$313.50 |
| 90710 |
|
88 |
81 |
$275.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
12 |
$270.74 |
| 90633 |
|
1,010 |
879 |
$267.71 |
| 74018 |
|
26 |
26 |
$262.12 |
| 97803 |
|
44 |
42 |
$189.60 |
| 90707 |
|
455 |
403 |
$188.06 |
| G0008 |
Administration of influenza virus vaccine |
754 |
675 |
$168.58 |
| 90716 |
|
446 |
394 |
$145.00 |
| 90696 |
|
168 |
150 |
$139.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
15 |
$131.73 |
| 3080F |
|
1,130 |
971 |
$110.00 |
| 3077F |
|
1,986 |
1,714 |
$110.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$104.37 |
| 90680 |
|
1,462 |
1,244 |
$101.65 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
56 |
51 |
$66.31 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
65 |
53 |
$52.96 |
| 3044F |
|
352 |
264 |
$50.00 |
| 94664 |
|
13 |
12 |
$39.04 |
| 90461 |
|
125 |
83 |
$38.95 |
| 90744 |
|
984 |
848 |
$32.21 |
| 1170F |
|
1,434 |
1,016 |
$30.00 |
| 3061F |
|
20 |
16 |
$20.00 |
| 90687 |
|
244 |
219 |
$19.80 |
| 1160F |
|
7,660 |
6,388 |
$10.00 |
| 1158F |
|
652 |
410 |
$10.00 |
| 90662 |
|
111 |
94 |
$1.12 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
3,986 |
3,409 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
304 |
221 |
$0.00 |
| 1126F |
|
382 |
323 |
$0.00 |
| 99366 |
|
162 |
156 |
$0.00 |
| 90619 |
|
80 |
65 |
$0.00 |
| 1111F |
|
23 |
15 |
$0.00 |
| 90723 |
|
59 |
59 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
696 |
680 |
$0.00 |
| 1159F |
|
38,175 |
31,960 |
$0.00 |
| 2014F |
|
3,937 |
3,342 |
$0.00 |
| 0502F |
|
1,743 |
1,114 |
$0.00 |
| 3288F |
|
1,210 |
838 |
$0.00 |
| 4306F |
|
2,611 |
2,082 |
$0.00 |
| 2028F |
|
234 |
174 |
$0.00 |
| 3725F |
|
345 |
297 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,008 |
674 |
$0.00 |
| 1026F |
|
360 |
316 |
$0.00 |
| 90648 |
|
210 |
197 |
$0.00 |
| 1003F |
|
2,607 |
2,224 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
699 |
682 |
$0.00 |
| 2026F |
|
837 |
730 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99499 |
|
140 |
110 |
$0.00 |
| 90715 |
|
70 |
64 |
$0.00 |