| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
34,726 |
32,117 |
$3.21M |
| 96152 |
|
564 |
432 |
$65K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,577 |
1,435 |
$59K |
| 97803 |
|
1,636 |
1,554 |
$54K |
| G0008 |
Administration of influenza virus vaccine |
1,077 |
1,004 |
$33K |
| Q3014 |
Telehealth originating site facility fee |
1,852 |
1,764 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
437 |
$21K |
| 96150 |
|
161 |
155 |
$18K |
| 97802 |
|
417 |
414 |
$17K |
| 96158 |
|
188 |
129 |
$11K |
| 96154 |
|
68 |
56 |
$6K |
| 94010 |
|
704 |
675 |
$6K |
| 96101 |
|
25 |
25 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
27 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
31 |
24 |
$3K |
| 96130 |
|
13 |
13 |
$3K |
| 90734 |
|
26 |
26 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
753 |
713 |
$2K |
| S9441 |
Asthma education, non-physician provider, per session |
107 |
107 |
$2K |
| 96136 |
|
25 |
25 |
$1K |
| 83037 |
|
1,351 |
1,312 |
$485.50 |
| 90686 |
|
1,074 |
1,003 |
$449.00 |
| 0054A |
|
13 |
13 |
$405.00 |
| 96127 |
|
1,090 |
1,054 |
$244.83 |
| 96167 |
|
20 |
12 |
$234.30 |
| 99401 |
|
33 |
32 |
$196.80 |
| 87070 |
|
99 |
96 |
$113.50 |
| 87077 |
|
69 |
52 |
$90.78 |
| 87186 |
|
30 |
26 |
$43.97 |
| 81002 |
|
736 |
681 |
$2.62 |
| 81003 |
|
78 |
78 |
$2.30 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
58 |
56 |
$0.00 |
| 90691 |
|
452 |
440 |
$0.00 |
| 96159 |
|
121 |
82 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
207 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| 96137 |
|
25 |
25 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| 0124A |
|
13 |
13 |
$0.00 |
| 36416 |
|
2,121 |
2,036 |
$0.00 |
| 90717 |
|
175 |
163 |
$0.00 |
| 96131 |
|
13 |
13 |
$0.00 |
| 91305 |
|
33 |
33 |
$0.00 |
| 91307 |
|
17 |
17 |
$0.00 |