| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,550 |
4,229 |
$539K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,692 |
4,125 |
$487K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,477 |
2,899 |
$346K |
| 99442 |
|
2,609 |
2,152 |
$225K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
646 |
636 |
$206K |
| 99443 |
|
1,919 |
1,376 |
$149K |
| 99000 |
|
4,392 |
3,715 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,243 |
1,098 |
$142K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
374 |
368 |
$119K |
| 99401 |
|
3,276 |
2,820 |
$109K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,124 |
1,023 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
711 |
544 |
$72K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,792 |
3,599 |
$69K |
| 96160 |
|
1,727 |
1,537 |
$62K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
263 |
254 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,094 |
1,004 |
$47K |
| 93880 |
|
131 |
125 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
534 |
522 |
$44K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,446 |
1,019 |
$36K |
| 93925 |
|
78 |
75 |
$27K |
| 99402 |
|
773 |
762 |
$26K |
| 0004A |
|
718 |
716 |
$26K |
| 99406 |
|
692 |
644 |
$26K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
179 |
80 |
$24K |
| 36416 |
|
1,180 |
1,038 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
608 |
582 |
$22K |
| 0064A |
|
564 |
562 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
885 |
631 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
204 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
582 |
578 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
213 |
208 |
$17K |
| 99205 |
Prolong outpt/office vis |
235 |
60 |
$17K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
792 |
662 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
133 |
$15K |
| 99051 |
|
1,442 |
1,207 |
$14K |
| 0072A |
|
359 |
358 |
$13K |
| 93970 |
|
31 |
31 |
$12K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,208 |
1,037 |
$12K |
| 99441 |
|
110 |
108 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,054 |
2,812 |
$10K |
| 0071A |
|
253 |
253 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
251 |
233 |
$9K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
36 |
35 |
$6K |
| 99001 |
|
215 |
212 |
$5K |
| 0124A |
|
129 |
126 |
$4K |
| 90686 |
|
212 |
212 |
$4K |
| 93015 |
|
37 |
37 |
$3K |
| 0001A |
|
74 |
73 |
$3K |
| 93000 |
|
878 |
822 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
29 |
26 |
$3K |
| 57410 |
|
41 |
41 |
$3K |
| 36410 |
|
132 |
130 |
$3K |
| 0002A |
|
66 |
66 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
234 |
234 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
24 |
24 |
$2K |
| 99050 |
|
153 |
149 |
$2K |
| 92250 |
|
16 |
16 |
$1K |
| 81025 |
|
582 |
574 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
57 |
$1K |
| 99386 |
|
33 |
32 |
$1K |
| 99385 |
|
15 |
15 |
$854.26 |
| 90715 |
|
19 |
19 |
$743.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
181 |
$720.59 |
| 90656 |
|
53 |
53 |
$581.07 |
| 81002 |
|
746 |
715 |
$569.70 |
| 99408 |
|
34 |
34 |
$514.40 |
| 72100 |
|
30 |
25 |
$467.66 |
| 0134A |
|
15 |
15 |
$400.00 |
| 36000 |
|
13 |
13 |
$339.40 |
| 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) |
521 |
442 |
$321.51 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
180 |
171 |
$264.77 |
| 82962 |
|
580 |
510 |
$101.79 |
| 90657 |
|
13 |
13 |
$71.20 |
| 96127 |
|
519 |
479 |
$58.78 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,847 |
3,868 |
$25.72 |
| 99497 |
|
135 |
135 |
$17.50 |
| G8708 |
Patient not prescribed antibiotic |
811 |
708 |
$0.01 |
| 1125F |
|
77 |
68 |
$0.00 |
| 3075F |
|
170 |
154 |
$0.00 |
| 2001F |
|
468 |
433 |
$0.00 |
| 3080F |
|
107 |
94 |
$0.00 |
| 2010F |
|
1,026 |
896 |
$0.00 |
| 3011F |
|
729 |
671 |
$0.00 |
| 3074F |
|
1,036 |
907 |
$0.00 |
| 3079F |
|
498 |
446 |
$0.00 |
| 3044F |
|
495 |
450 |
$0.00 |
| 57150 |
|
80 |
77 |
$0.00 |
| 2000F |
|
450 |
416 |
$0.00 |
| 3049F |
|
171 |
162 |
$0.00 |
| 3048F |
|
117 |
107 |
$0.00 |
| 82270 |
|
14 |
14 |
$0.00 |
| 99072 |
|
1,304 |
1,196 |
$0.00 |
| 3050F |
|
108 |
99 |
$0.00 |
| 3078F |
|
779 |
702 |
$0.00 |
| 1160F |
|
92 |
73 |
$0.00 |
| 1159F |
|
93 |
74 |
$0.00 |
| 3077F |
|
133 |
109 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
67 |
54 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
68 |
68 |
$0.00 |