| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,443 |
8,662 |
$489K |
| 94060 |
|
1,454 |
1,403 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
240 |
$20K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
112 |
111 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,091 |
1,605 |
$18K |
| 93000 |
|
1,384 |
1,338 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
352 |
$14K |
| 94664 |
|
1,423 |
1,358 |
$11K |
| 99091 |
|
1,670 |
1,160 |
$8K |
| 99490 |
Ccm add 20min |
1,085 |
1,081 |
$7K |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
1,713 |
1,639 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
620 |
572 |
$5K |
| 97802 |
|
2,823 |
2,573 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
338 |
$5K |
| 3074F |
|
2,630 |
2,297 |
$3K |
| 99072 |
|
730 |
521 |
$3K |
| 90756 |
|
140 |
140 |
$3K |
| 93922 |
|
80 |
73 |
$3K |
| 95923 |
|
79 |
72 |
$3K |
| 99215 |
Prolong outpt/office vis |
32 |
31 |
$2K |
| 99401 |
|
380 |
379 |
$2K |
| 3078F |
|
2,170 |
1,981 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 95921 |
|
81 |
73 |
$2K |
| 3079F |
|
1,743 |
1,537 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,900 |
2,813 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,840 |
3,437 |
$2K |
| 90658 |
|
118 |
118 |
$2K |
| 99439 |
|
98 |
98 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
47 |
34 |
$1K |
| 3075F |
|
1,018 |
951 |
$1K |
| 94010 |
|
1,219 |
1,144 |
$1K |
| 90688 |
|
75 |
75 |
$798.43 |
| 99497 |
|
47 |
46 |
$722.77 |
| 99000 |
|
2,374 |
2,295 |
$715.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
76 |
75 |
$625.66 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
49 |
36 |
$553.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$495.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
329 |
300 |
$274.98 |
| 3077F |
|
217 |
210 |
$217.50 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
24 |
$215.27 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
469 |
358 |
$184.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
247 |
247 |
$144.05 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
615 |
480 |
$135.00 |
| 3080F |
|
73 |
71 |
$102.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$98.40 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
223 |
185 |
$90.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
452 |
404 |
$76.00 |
| 3044F |
|
439 |
429 |
$61.07 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
15 |
13 |
$45.62 |
| 3051F |
|
393 |
385 |
$44.44 |
| J7050 |
Infusion, normal saline solution, 250 cc |
38 |
32 |
$28.08 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
40 |
40 |
$27.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
173 |
165 |
$23.49 |
| 1160F |
|
763 |
721 |
$20.00 |
| 1159F |
|
762 |
720 |
$20.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$17.67 |
| 81002 |
|
14 |
13 |
$15.42 |
| 3008F |
|
4,599 |
3,990 |
$11.08 |
| 3048F |
|
207 |
201 |
$1.07 |
| 2001F |
|
1,611 |
1,287 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
643 |
598 |
$0.00 |
| 2000F |
|
1,884 |
1,533 |
$0.00 |
| 3061F |
|
28 |
27 |
$0.00 |
| 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)). |
30 |
30 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 3050F |
|
476 |
464 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
656 |
610 |
$0.00 |
| 4274F |
|
99 |
99 |
$0.00 |
| 3023F |
|
33 |
29 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
74 |
74 |
$0.00 |