| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,424 |
35,649 |
$1.80M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
45,857 |
9,649 |
$884K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,701 |
11,641 |
$476K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12,652 |
11,203 |
$301K |
| 99223 |
Prolong inpt eval add15 m |
3,253 |
2,843 |
$207K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,787 |
2,427 |
$137K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,862 |
5,557 |
$45K |
| 99490 |
Ccm add 20min |
7,271 |
7,085 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,037 |
12,364 |
$37K |
| 99307 |
|
2,875 |
2,543 |
$33K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,488 |
10,225 |
$33K |
| 80061 |
Lipid panel |
7,950 |
7,210 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
941 |
780 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
991 |
850 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,658 |
1,243 |
$20K |
| 80076 |
|
7,550 |
6,795 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
639 |
202 |
$19K |
| 94681 |
|
992 |
898 |
$16K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
843 |
351 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
9,777 |
8,622 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
914 |
813 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,095 |
1,913 |
$10K |
| 80053 |
Comprehensive metabolic panel |
2,211 |
1,965 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
224 |
195 |
$8K |
| 90682 |
|
352 |
301 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
328 |
292 |
$7K |
| 94375 |
|
748 |
652 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,229 |
1,027 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,801 |
2,546 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
458 |
396 |
$5K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
353 |
290 |
$4K |
| 94200 |
|
754 |
659 |
$3K |
| 94726 |
|
324 |
305 |
$3K |
| 99454 |
|
417 |
333 |
$3K |
| 99304 |
|
98 |
91 |
$3K |
| 80305 |
|
405 |
365 |
$3K |
| 83735 |
|
1,000 |
905 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
191 |
$2K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28,654 |
23,777 |
$2K |
| 94690 |
|
259 |
195 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
26 |
$2K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29,884 |
24,742 |
$2K |
| 90686 |
|
168 |
148 |
$2K |
| 81001 |
|
1,260 |
1,021 |
$1K |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
6,366 |
5,313 |
$1K |
| 99457 |
|
254 |
192 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,332 |
1,098 |
$916.04 |
| 86769 |
|
77 |
72 |
$893.34 |
| 95923 |
|
55 |
54 |
$764.90 |
| 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 |
49 |
49 |
$701.53 |
| 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 |
92 |
91 |
$663.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$623.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$493.24 |
| 80050 |
General health panel |
15 |
14 |
$371.56 |
| 99441 |
|
15 |
12 |
$357.79 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
120 |
115 |
$332.75 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20,109 |
16,670 |
$328.77 |
| 99406 |
|
84 |
65 |
$283.26 |
| 96165 |
|
29 |
12 |
$240.00 |
| G9583 |
Patients prescribed opiates for longer than six weeks |
5,418 |
4,503 |
$235.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
802 |
688 |
$200.46 |
| 93922 |
|
12 |
12 |
$193.97 |
| 95921 |
|
13 |
12 |
$190.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$185.98 |
| 73562 |
|
14 |
14 |
$165.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
136 |
123 |
$138.47 |
| 96164 |
|
29 |
12 |
$120.00 |
| 82607 |
|
12 |
12 |
$96.50 |
| 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) |
61 |
58 |
$95.85 |
| 90662 |
|
189 |
154 |
$86.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,701 |
7,276 |
$84.45 |
| 1036F |
|
21,808 |
18,215 |
$83.10 |
| 99497 |
|
131 |
126 |
$70.56 |
| 95943 |
|
26 |
26 |
$64.44 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
64 |
51 |
$60.00 |
| 1124F |
|
2,935 |
2,489 |
$48.72 |
| 85652 |
|
57 |
38 |
$46.19 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
161 |
152 |
$40.81 |
| 1123F |
|
1,458 |
1,276 |
$39.16 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
1,102 |
970 |
$37.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
134 |
127 |
$26.69 |
| 4004F |
|
5,312 |
4,480 |
$10.24 |
| G0008 |
Administration of influenza virus vaccine |
549 |
464 |
$8.72 |
| 4040F |
|
1,589 |
1,403 |
$6.87 |
| 1126F |
|
71 |
62 |
$0.00 |
| 1125F |
|
248 |
224 |
$0.00 |
| 1170F |
|
317 |
278 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
13 |
$0.00 |
| 3074F |
|
48 |
48 |
$0.00 |
| 1160F |
|
285 |
248 |
$0.00 |
| 1159F |
|
254 |
232 |
$0.00 |
| 3078F |
|
60 |
59 |
$0.00 |