| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,446 |
43,663 |
$2.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,869 |
24,617 |
$1.23M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,674 |
3,494 |
$337K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,947 |
4,203 |
$159K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,319 |
2,911 |
$141K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
567 |
266 |
$87K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
650 |
558 |
$69K |
| 99215 |
Prolong outpt/office vis |
1,879 |
1,514 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,019 |
944 |
$56K |
| 99441 |
|
1,561 |
1,351 |
$54K |
| 99254 |
|
661 |
601 |
$52K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,439 |
4,872 |
$51K |
| 80061 |
Lipid panel |
11,742 |
10,677 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,983 |
2,809 |
$50K |
| 99457 |
|
6,753 |
5,738 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
626 |
558 |
$49K |
| 93000 |
|
8,057 |
6,775 |
$43K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,293 |
8,494 |
$42K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
190 |
184 |
$38K |
| 99454 |
|
4,323 |
3,668 |
$38K |
| 93880 |
|
1,008 |
880 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,255 |
10,094 |
$34K |
| 80053 |
Comprehensive metabolic panel |
11,257 |
10,334 |
$33K |
| 93224 |
|
693 |
642 |
$32K |
| 76830 |
Ultrasound, transvaginal |
463 |
376 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
26,755 |
20,195 |
$26K |
| 90686 |
|
1,510 |
1,434 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,949 |
9,993 |
$23K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
556 |
480 |
$19K |
| 99442 |
|
778 |
635 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
426 |
345 |
$18K |
| 93015 |
|
340 |
312 |
$18K |
| 80050 |
General health panel |
749 |
723 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
942 |
772 |
$17K |
| 93923 |
|
533 |
452 |
$16K |
| 95720 |
|
288 |
118 |
$16K |
| 86141 |
|
3,228 |
2,945 |
$14K |
| 90688 |
|
1,265 |
1,134 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,203 |
466 |
$13K |
| 84439 |
|
4,256 |
3,861 |
$12K |
| 82607 |
|
2,484 |
2,198 |
$12K |
| 11730 |
|
276 |
276 |
$11K |
| 93970 |
|
245 |
206 |
$11K |
| 83721 |
|
10,497 |
9,256 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
92 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
168 |
$10K |
| 90682 |
|
200 |
173 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
500 |
455 |
$10K |
| 84153 |
|
1,457 |
1,298 |
$9K |
| 82746 |
|
1,952 |
1,721 |
$9K |
| 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) |
3,186 |
2,206 |
$8K |
| 99458 |
|
1,534 |
1,266 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
648 |
617 |
$7K |
| 83735 |
|
3,792 |
3,446 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
805 |
683 |
$7K |
| 99490 |
Ccm add 20min |
1,027 |
918 |
$7K |
| 99497 |
|
1,142 |
737 |
$6K |
| 99401 |
|
480 |
349 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
348 |
297 |
$6K |
| 64450 |
|
203 |
172 |
$5K |
| 84100 |
|
3,793 |
3,465 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
110 |
91 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,194 |
1,440 |
$5K |
| 99051 |
|
618 |
530 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
501 |
384 |
$5K |
| 93976 |
|
118 |
77 |
$5K |
| 81003 |
|
6,345 |
5,768 |
$5K |
| 90656 |
|
157 |
156 |
$4K |
| 99397 |
|
308 |
187 |
$4K |
| 82977 |
|
1,772 |
1,522 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,603 |
1,792 |
$4K |
| 93018 |
|
576 |
502 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
629 |
557 |
$3K |
| 99205 |
Prolong outpt/office vis |
64 |
51 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
339 |
292 |
$3K |
| 90658 |
|
200 |
187 |
$3K |
| 99403 |
|
61 |
58 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
453 |
359 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
63 |
54 |
$3K |
| 99426 |
|
258 |
231 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
241 |
218 |
$3K |
| 83615 |
|
1,238 |
1,096 |
$3K |
| 84550 |
|
2,024 |
1,828 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,494 |
1,417 |
$2K |
| 84154 |
|
431 |
386 |
$2K |
| 20550 |
|
177 |
165 |
$2K |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
75 |
59 |
$2K |
| 82043 |
|
1,636 |
1,475 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,659 |
1,107 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
34 |
24 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
65 |
63 |
$2K |
| 82570 |
|
1,651 |
1,482 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
525 |
480 |
$2K |
| 99386 |
|
15 |
13 |
$2K |
| 80076 |
|
521 |
478 |
$2K |
| 96112 |
|
903 |
495 |
$2K |
| 95923 |
|
51 |
39 |
$2K |
| 93016 |
|
298 |
271 |
$2K |
| 3079F |
|
6,806 |
5,819 |
$2K |
| 11000 |
|
78 |
78 |
$1K |
| 94060 |
|
88 |
67 |
$1K |
| 3074F |
|
14,144 |
11,816 |
$1K |
| 99406 |
|
349 |
250 |
$1K |
| 3044F |
|
5,671 |
4,483 |
$1K |
| 90662 |
|
1,000 |
812 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
286 |
225 |
$1K |
| 3008F |
|
30,336 |
23,770 |
$1K |
| 99050 |
|
237 |
220 |
$1K |
| 95921 |
|
51 |
39 |
$1K |
| 93925 |
|
86 |
51 |
$1K |
| 93890 |
|
33 |
27 |
$1K |
| 93886 |
|
33 |
27 |
$1K |
| 99173 |
|
419 |
359 |
$943.48 |
| 99424 |
|
44 |
37 |
$912.88 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
62 |
16 |
$863.13 |
| 3078F |
|
15,203 |
12,248 |
$828.03 |
| 92551 |
|
93 |
83 |
$812.57 |
| 10060 |
|
43 |
40 |
$780.97 |
| 90756 |
|
62 |
52 |
$732.56 |
| 83970 |
|
103 |
91 |
$710.85 |
| 99453 |
|
229 |
200 |
$686.16 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
292 |
229 |
$653.68 |
| 96127 |
|
209 |
203 |
$642.98 |
| G0008 |
Administration of influenza virus vaccine |
1,515 |
1,238 |
$617.58 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,735 |
940 |
$609.06 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
87 |
62 |
$603.63 |
| 82728 |
|
211 |
189 |
$592.36 |
| 11056 |
|
93 |
93 |
$548.62 |
| 3077F |
|
3,139 |
2,605 |
$547.90 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
53 |
49 |
$526.58 |
| 76857 |
|
17 |
14 |
$518.93 |
| 3075F |
|
4,626 |
3,922 |
$513.30 |
| 82550 |
|
296 |
274 |
$502.84 |
| 94010 |
|
31 |
28 |
$474.85 |
| 99307 |
|
84 |
66 |
$457.61 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
146 |
96 |
$435.32 |
| 93978 |
|
166 |
106 |
$429.43 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$420.58 |
| 84480 |
|
67 |
64 |
$399.94 |
| 11721 |
|
57 |
57 |
$365.32 |
| 84403 |
|
40 |
34 |
$364.80 |
| 99335 |
|
12 |
12 |
$340.50 |
| 90674 |
|
14 |
14 |
$309.41 |
| 83550 |
|
169 |
149 |
$283.25 |
| 84402 |
|
17 |
14 |
$245.10 |
| 83540 |
|
186 |
161 |
$237.68 |
| 82248 |
|
90 |
87 |
$232.02 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
39 |
39 |
$222.80 |
| 1159F |
|
5,636 |
4,013 |
$211.00 |
| 84270 |
|
16 |
13 |
$203.65 |
| 3080F |
|
911 |
791 |
$178.00 |
| 1160F |
|
4,976 |
3,634 |
$177.00 |
| 3051F |
|
551 |
405 |
$164.00 |
| 83001 |
|
25 |
24 |
$147.22 |
| 90694 |
|
43 |
43 |
$132.86 |
| 82670 |
|
12 |
12 |
$94.53 |
| 1126F |
|
1,055 |
673 |
$70.00 |
| 83002 |
|
12 |
12 |
$63.52 |
| 90653 |
|
13 |
13 |
$63.10 |
| 97802 |
|
329 |
266 |
$54.15 |
| 51798 |
|
13 |
12 |
$37.57 |
| 1170F |
|
1,705 |
1,096 |
$36.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,810 |
10,239 |
$24.00 |
| 87210 |
|
14 |
13 |
$23.88 |
| 3072F |
|
90 |
78 |
$17.08 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15,652 |
11,507 |
$16.00 |
| 82962 |
|
75 |
42 |
$10.78 |
| 82247 |
|
264 |
219 |
$10.57 |
| 1125F |
|
362 |
212 |
$10.00 |
| 1123F |
|
763 |
515 |
$8.00 |
| 99072 |
|
113 |
111 |
$7.00 |
| 1158F |
|
348 |
218 |
$6.05 |
| 1124F |
|
586 |
409 |
$6.00 |
| 3052F |
|
19 |
13 |
$5.00 |
| 3061F |
|
291 |
270 |
$4.00 |
| 4010F |
|
333 |
319 |
$4.00 |
| 0134A |
|
14 |
14 |
$3.00 |
| M1189 |
Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed |
273 |
265 |
$0.00 |
| 1090F |
|
793 |
415 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
271 |
214 |
$0.00 |
| 3725F |
|
5,339 |
4,187 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,485 |
2,138 |
$0.00 |
| 3050F |
|
1,494 |
1,071 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,439 |
1,315 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,746 |
1,565 |
$0.00 |
| 4013F |
|
310 |
280 |
$0.00 |
| 3016F |
|
1,033 |
929 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
75 |
69 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
58 |
55 |
$0.00 |
| 3288F |
|
501 |
383 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
150 |
139 |
$0.00 |
| 1100F |
|
560 |
358 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
13 |
13 |
$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) |
129 |
123 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
191 |
171 |
$0.00 |
| 1032F |
|
88 |
80 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
16 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
14 |
12 |
$0.00 |
| 2028F |
|
15 |
14 |
$0.00 |
| G8416 |
Clinician documented that patient was not an eligible candidate for footwear evaluation measure |
196 |
180 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,632 |
3,125 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,092 |
1,808 |
$0.00 |
| 2023F |
|
203 |
183 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
9,173 |
6,887 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
785 |
705 |
$0.00 |
| 1036F |
|
4,119 |
3,536 |
$0.00 |
| 99000 |
|
1,085 |
617 |
$0.00 |
| 1000F |
|
2,334 |
2,075 |
$0.00 |
| 1111F |
|
658 |
610 |
$0.00 |
| 0509F |
|
274 |
222 |
$0.00 |
| 3017F |
|
192 |
151 |
$0.00 |
| 3048F |
|
1,549 |
1,157 |
$0.00 |
| 1101F |
|
1,454 |
949 |
$0.00 |
| 3049F |
|
1,210 |
904 |
$0.00 |
| 1030F |
|
725 |
671 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
132 |
127 |
$0.00 |
| 1157F |
|
239 |
125 |
$0.00 |
| G2178 |
Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation |
142 |
128 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
13 |
13 |
$0.00 |
| 3014F |
|
67 |
59 |
$0.00 |
| 81099 |
|
104 |
53 |
$0.00 |