| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39,327 |
32,702 |
$876K |
| 99490 |
Ccm add 20min |
46,948 |
44,477 |
$575K |
| 99484 |
|
16,458 |
15,732 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,856 |
10,399 |
$212K |
| 99439 |
|
10,826 |
10,156 |
$133K |
| 99493 |
|
2,544 |
2,316 |
$92K |
| 99487 |
Ccm add 20min |
4,798 |
4,632 |
$90K |
| 99215 |
Prolong outpt/office vis |
2,280 |
2,061 |
$58K |
| 99492 |
|
1,310 |
1,232 |
$56K |
| 99494 |
|
2,630 |
2,418 |
$52K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,577 |
1,467 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,494 |
1,325 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,969 |
4,216 |
$38K |
| 99497 |
|
1,717 |
1,555 |
$34K |
| 80305 |
|
8,184 |
7,204 |
$21K |
| 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)). |
1,931 |
1,897 |
$21K |
| 96127 |
|
6,411 |
6,086 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,427 |
1,181 |
$14K |
| 80306 |
|
1,466 |
1,220 |
$14K |
| 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) |
6,351 |
4,621 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,296 |
650 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
18,018 |
16,283 |
$13K |
| 93000 |
|
2,135 |
1,902 |
$13K |
| 99489 |
Ccm add 20min |
1,350 |
1,266 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
163 |
$10K |
| Q3014 |
Telehealth originating site facility fee |
960 |
884 |
$9K |
| 90686 |
|
1,230 |
1,129 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,209 |
3,008 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
578 |
509 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
52 |
$5K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
382 |
331 |
$4K |
| 82962 |
|
4,558 |
4,126 |
$4K |
| 99406 |
|
857 |
741 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
1,984 |
1,824 |
$4K |
| 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 |
767 |
751 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
526 |
517 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
86 |
70 |
$3K |
| 94060 |
|
176 |
164 |
$3K |
| 81002 |
|
3,794 |
3,355 |
$3K |
| 90688 |
|
410 |
370 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
238 |
214 |
$2K |
| 72100 |
|
372 |
324 |
$2K |
| 95806 |
|
26 |
25 |
$2K |
| 99401 |
|
76 |
55 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
219 |
188 |
$1K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
30 |
28 |
$1K |
| 90756 |
|
326 |
291 |
$1K |
| 0013A |
|
144 |
114 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
66 |
$992.87 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
316 |
222 |
$889.06 |
| 99407 |
|
122 |
108 |
$879.85 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
144 |
134 |
$816.37 |
| 94760 |
|
2,474 |
2,249 |
$755.57 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,590 |
1,455 |
$622.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$503.22 |
| 99496 |
|
14 |
13 |
$481.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
597 |
542 |
$431.44 |
| 99358 |
Prolong nursin fac eval 15m |
13 |
13 |
$367.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
609 |
497 |
$358.81 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
45 |
45 |
$353.41 |
| 77080 |
|
32 |
25 |
$346.70 |
| 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 |
51 |
49 |
$290.59 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
45 |
$260.52 |
| 90656 |
|
16 |
16 |
$231.86 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
26 |
$205.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
33 |
$171.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
705 |
643 |
$153.50 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
56 |
55 |
$65.78 |
| 80061 |
Lipid panel |
682 |
627 |
$51.11 |
| 99318 |
|
15 |
15 |
$31.95 |
| 72050 |
|
12 |
12 |
$31.17 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
26 |
$21.16 |
| 1160F |
|
3,911 |
3,365 |
$0.02 |
| 1159F |
|
3,915 |
3,364 |
$0.02 |
| 96160 |
|
288 |
287 |
$0.02 |
| 3074F |
|
97 |
93 |
$0.00 |
| 1170F |
|
583 |
545 |
$0.00 |
| 1125F |
|
761 |
691 |
$0.00 |
| 1126F |
|
133 |
130 |
$0.00 |
| 1123F |
|
396 |
338 |
$0.00 |
| 4037F |
|
543 |
486 |
$0.00 |
| 3044F |
|
17 |
15 |
$0.00 |
| 3061F |
|
19 |
17 |
$0.00 |
| 3079F |
|
41 |
39 |
$0.00 |
| 99366 |
|
30 |
30 |
$0.00 |
| 3075F |
|
39 |
36 |
$0.00 |
| 3060F |
|
14 |
12 |
$0.00 |
| 4010F |
|
27 |
23 |
$0.00 |
| 3077F |
|
28 |
28 |
$0.00 |
| 1100F |
|
66 |
55 |
$0.00 |
| 99499 |
|
262 |
256 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
68 |
60 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
73 |
67 |
$0.00 |
| 4013F |
|
29 |
26 |
$0.00 |
| 3078F |
|
114 |
107 |
$0.00 |
| 99072 |
|
134 |
90 |
$0.00 |
| 3288F |
|
298 |
267 |
$0.00 |