| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71,293 |
65,642 |
$3.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,166 |
54,575 |
$2.14M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,977 |
9,490 |
$815K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,088 |
6,879 |
$489K |
| 93015 |
|
8,680 |
7,853 |
$460K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
3,005 |
2,780 |
$352K |
| 99497 |
|
9,184 |
8,761 |
$308K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,904 |
3,771 |
$298K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,977 |
4,828 |
$259K |
| 93000 |
|
22,049 |
20,826 |
$215K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
2,387 |
2,078 |
$179K |
| 94729 |
|
6,542 |
6,310 |
$167K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,477 |
2,377 |
$160K |
| 95886 |
|
1,923 |
1,812 |
$124K |
| 94010 |
|
7,295 |
7,014 |
$117K |
| 99205 |
Prolong outpt/office vis |
1,409 |
1,310 |
$108K |
| 94726 |
|
4,159 |
4,089 |
$103K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,919 |
2,745 |
$87K |
| 95806 |
|
897 |
892 |
$86K |
| 95811 |
|
185 |
185 |
$83K |
| 95800 |
|
701 |
673 |
$72K |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
2,455 |
2,139 |
$72K |
| 95911 |
|
884 |
875 |
$69K |
| 93224 |
|
851 |
828 |
$65K |
| 93922 |
|
2,519 |
2,303 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
892 |
846 |
$51K |
| 94727 |
|
2,804 |
2,623 |
$48K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,065 |
662 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,077 |
1,931 |
$38K |
| 95819 |
|
459 |
438 |
$37K |
| 95910 |
|
443 |
425 |
$35K |
| 90688 |
|
1,751 |
1,719 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
1,207 |
626 |
$31K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
77 |
77 |
$26K |
| 94621 |
|
443 |
420 |
$26K |
| 99442 |
|
762 |
676 |
$26K |
| 97802 |
|
932 |
874 |
$25K |
| 82962 |
|
33,230 |
28,298 |
$24K |
| 99401 |
|
1,573 |
1,391 |
$23K |
| 99406 |
|
3,761 |
3,349 |
$23K |
| 76536 |
|
569 |
526 |
$22K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
835 |
355 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,230 |
1,193 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
437 |
$13K |
| 99310 |
Prolong nursin fac eval 15m |
420 |
388 |
$12K |
| 97803 |
|
766 |
689 |
$12K |
| J2785 |
Injection, regadenoson, 0.1 mg |
468 |
342 |
$12K |
| 99490 |
Ccm add 20min |
1,823 |
1,725 |
$10K |
| 93892 |
|
100 |
98 |
$9K |
| 93297 |
|
1,280 |
1,262 |
$9K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
535 |
522 |
$8K |
| 99215 |
Prolong outpt/office vis |
160 |
148 |
$7K |
| 93890 |
|
100 |
98 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
232 |
225 |
$6K |
| 11721 |
|
726 |
666 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
1,149 |
1,125 |
$6K |
| 93880 |
|
354 |
343 |
$5K |
| 93458 |
|
83 |
74 |
$5K |
| 93886 |
|
100 |
98 |
$5K |
| 93296 |
|
617 |
607 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
192 |
150 |
$4K |
| 96127 |
|
2,285 |
2,117 |
$4K |
| 95923 |
|
195 |
152 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
145 |
138 |
$3K |
| 99441 |
|
251 |
243 |
$3K |
| 90662 |
|
415 |
406 |
$2K |
| 99457 |
|
2,299 |
2,225 |
$2K |
| 93299 |
|
119 |
119 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
92 |
85 |
$2K |
| 95921 |
|
151 |
114 |
$2K |
| 93272 |
|
89 |
88 |
$2K |
| 93925 |
|
269 |
257 |
$2K |
| 99454 |
|
1,514 |
1,457 |
$2K |
| 99072 |
|
24,370 |
20,712 |
$2K |
| 93356 |
|
157 |
148 |
$2K |
| 93970 |
|
255 |
245 |
$2K |
| 96132 |
|
330 |
302 |
$2K |
| 99439 |
|
568 |
535 |
$1K |
| 93295 |
|
99 |
97 |
$1K |
| 99152 |
|
91 |
84 |
$1K |
| 95251 |
|
124 |
120 |
$1K |
| 93931 |
|
250 |
244 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
242 |
228 |
$1K |
| 99397 |
|
24 |
24 |
$874.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
210 |
204 |
$594.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
18 |
$575.56 |
| 3074F |
|
13,483 |
11,686 |
$561.65 |
| 96138 |
|
326 |
258 |
$488.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$455.61 |
| 99221 |
|
14 |
13 |
$434.85 |
| 3078F |
|
9,912 |
8,708 |
$364.02 |
| 1126F |
|
9,165 |
8,144 |
$356.46 |
| 3079F |
|
6,391 |
5,733 |
$267.72 |
| 11056 |
|
45 |
41 |
$226.68 |
| 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) |
407 |
383 |
$217.10 |
| 99458 |
|
209 |
170 |
$203.49 |
| 1125F |
|
4,860 |
4,332 |
$160.32 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
60 |
57 |
$148.79 |
| 95999 |
|
36 |
25 |
$133.00 |
| 1159F |
|
21,417 |
18,212 |
$126.25 |
| 1170F |
|
4,376 |
3,842 |
$119.18 |
| 1160F |
|
20,850 |
17,780 |
$113.26 |
| 96137 |
|
48 |
48 |
$90.49 |
| 3075F |
|
2,313 |
2,091 |
$79.19 |
| 99453 |
|
117 |
114 |
$45.31 |
| 93244 |
|
12 |
12 |
$42.13 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
18 |
15 |
$40.35 |
| 96136 |
|
45 |
45 |
$35.87 |
| 93242 |
|
12 |
12 |
$28.63 |
| 3044F |
|
559 |
529 |
$13.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$12.00 |
| 3077F |
|
408 |
382 |
$10.04 |
| 81002 |
|
16 |
15 |
$7.24 |
| 3080F |
|
198 |
176 |
$4.01 |
| 1158F |
|
238 |
213 |
$3.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
2,381 |
2,174 |
$0.00 |
| 1030F |
|
2,191 |
2,006 |
$0.00 |
| 3008F |
|
726 |
592 |
$0.00 |
| 3352F |
|
60 |
54 |
$0.00 |
| 3048F |
|
391 |
377 |
$0.00 |
| 3061F |
|
135 |
129 |
$0.00 |
| 3351F |
|
58 |
52 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
18 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
414 |
354 |
$0.00 |
| 1101F |
|
47 |
46 |
$0.00 |
| 1000F |
|
42 |
39 |
$0.00 |
| 3049F |
|
33 |
32 |
$0.00 |
| 4013F |
|
1,830 |
1,667 |
$0.00 |
| 3015F |
|
92 |
92 |
$0.00 |
| 4274F |
|
34 |
32 |
$0.00 |
| 3046F |
|
59 |
57 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
304 |
253 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
27 |
$0.00 |
| 3288F |
|
17 |
16 |
$0.00 |