| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,850 |
31,014 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,083 |
18,991 |
$1.10M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,191 |
4,098 |
$388K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,697 |
3,601 |
$310K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,407 |
1,056 |
$156K |
| 99223 |
Prolong inpt eval add15 m |
1,353 |
1,224 |
$130K |
| 99233 |
Prolong inpt eval add15 m |
1,903 |
390 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,338 |
1,308 |
$92K |
| 99442 |
|
1,262 |
1,207 |
$65K |
| 99443 |
|
719 |
684 |
$52K |
| 99385 |
|
493 |
484 |
$51K |
| 99496 |
|
323 |
312 |
$43K |
| 99406 |
|
4,761 |
4,409 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,496 |
4,064 |
$35K |
| 94010 |
|
2,119 |
2,039 |
$34K |
| 82947 |
|
10,584 |
9,374 |
$26K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
422 |
401 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
223 |
$24K |
| 93000 |
|
3,104 |
2,949 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
11,559 |
10,926 |
$24K |
| 90688 |
|
1,365 |
1,358 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,288 |
3,218 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,953 |
1,904 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,169 |
3,078 |
$19K |
| 99386 |
|
130 |
130 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
409 |
352 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
854 |
830 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,055 |
1,018 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
120 |
$10K |
| 99495 |
|
117 |
101 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
730 |
724 |
$9K |
| 99441 |
|
285 |
270 |
$8K |
| 80061 |
Lipid panel |
956 |
947 |
$8K |
| 94150 |
|
829 |
781 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
225 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$7K |
| 81025 |
|
1,114 |
1,074 |
$7K |
| 96127 |
|
2,634 |
2,572 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
263 |
235 |
$5K |
| 81002 |
|
2,241 |
2,180 |
$5K |
| 96160 |
|
662 |
611 |
$5K |
| 82044 |
|
1,331 |
1,285 |
$5K |
| 80053 |
Comprehensive metabolic panel |
567 |
563 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
66 |
63 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,151 |
2,822 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
281 |
256 |
$4K |
| 76775 |
|
149 |
147 |
$4K |
| 94060 |
|
139 |
134 |
$4K |
| 90658 |
|
206 |
199 |
$4K |
| 99000 |
|
492 |
480 |
$3K |
| 82570 |
|
1,286 |
1,241 |
$3K |
| 90756 |
|
168 |
149 |
$3K |
| 0011A |
|
97 |
97 |
$3K |
| 0012A |
|
79 |
79 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
163 |
$3K |
| 0013A |
|
64 |
64 |
$2K |
| 82270 |
|
643 |
619 |
$2K |
| 90674 |
|
103 |
97 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$2K |
| 98967 |
|
357 |
336 |
$2K |
| 72110 |
|
97 |
96 |
$2K |
| 92551 |
|
234 |
226 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
191 |
166 |
$1K |
| 98968 |
|
370 |
353 |
$1K |
| 90686 |
|
71 |
71 |
$1K |
| 0001A |
|
31 |
31 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$1K |
| 90732 |
|
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
121 |
119 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$928.98 |
| 98966 |
|
756 |
655 |
$870.77 |
| 99497 |
|
91 |
88 |
$837.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
45 |
$798.48 |
| 99490 |
Ccm add 20min |
82 |
82 |
$587.93 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
103 |
100 |
$570.29 |
| 0031A |
|
14 |
14 |
$542.28 |
| 73562 |
|
33 |
29 |
$511.46 |
| 73630 |
|
40 |
37 |
$498.18 |
| G0102 |
Prostate cancer screening; digital rectal examination |
39 |
39 |
$392.07 |
| 85610 |
|
147 |
82 |
$380.66 |
| 11721 |
|
25 |
24 |
$311.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$305.44 |
| 82550 |
|
111 |
109 |
$301.86 |
| 90662 |
|
86 |
86 |
$279.94 |
| 99408 |
|
12 |
12 |
$225.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
130 |
130 |
$196.68 |
| 84450 |
|
41 |
41 |
$123.76 |
| 97802 |
|
185 |
174 |
$120.00 |
| 84460 |
|
29 |
29 |
$79.81 |
| 86580 |
|
12 |
12 |
$73.76 |
| G0008 |
Administration of influenza virus vaccine |
258 |
257 |
$67.56 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
15 |
14 |
$57.20 |
| 82962 |
|
40 |
39 |
$47.74 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$28.06 |
| G9007 |
Coordinated care fee, scheduled team conference |
1,178 |
992 |
$12.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$6.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17,261 |
15,930 |
$4.46 |
| 4025F |
|
13,917 |
12,534 |
$4.46 |
| 1160F |
|
22,720 |
21,203 |
$4.46 |
| 1000F |
|
29,627 |
27,174 |
$4.46 |
| 1111F |
|
16,104 |
15,112 |
$4.46 |
| 3074F |
|
22,689 |
21,128 |
$4.46 |
| 4140F |
|
7,558 |
6,796 |
$4.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,395 |
6,225 |
$4.46 |
| 3023F |
|
4,398 |
4,030 |
$2.23 |
| 4040F |
|
6,792 |
6,286 |
$2.23 |
| 3078F |
|
18,811 |
17,689 |
$2.23 |
| G8598 |
Aspirin or another antiplatelet therapy used |
8,139 |
7,326 |
$2.23 |
| 4037F |
|
2,151 |
2,130 |
$2.23 |
| 3080F |
|
5,921 |
5,610 |
$2.23 |
| 4010F |
|
8,889 |
8,001 |
$2.23 |
| 1034F |
|
13,293 |
12,149 |
$2.23 |
| 3014F |
|
4,257 |
3,893 |
$2.23 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
62 |
47 |
$1.52 |
| G9002 |
Coordinated care fee, maintenance rate |
1,010 |
922 |
$0.39 |
| 1159F |
|
16,255 |
15,234 |
$0.00 |
| 3725F |
|
8,908 |
8,619 |
$0.00 |
| 4001F |
|
1,781 |
1,651 |
$0.00 |
| 99401 |
|
18 |
18 |
$0.00 |
| 99072 |
|
5,509 |
4,823 |
$0.00 |
| 3015F |
|
4,228 |
3,876 |
$0.00 |
| 3077F |
|
7,498 |
7,098 |
$0.00 |
| 3045F |
|
45 |
41 |
$0.00 |
| 3051F |
|
679 |
610 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,595 |
1,532 |
$0.00 |
| 4004F |
|
1,622 |
1,472 |
$0.00 |
| 4013F |
|
10,725 |
9,723 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
595 |
579 |
$0.00 |
| 1033F |
|
1,253 |
1,211 |
$0.00 |
| 3046F |
|
1,363 |
1,199 |
$0.00 |
| 2022F |
|
1,476 |
1,330 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
17 |
$0.00 |
| 1032F |
|
113 |
111 |
$0.00 |
| 3050F |
|
36 |
32 |
$0.00 |
| G0246 |
Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
18 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
76 |
73 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
66 |
$0.00 |
| 99173 |
|
194 |
188 |
$0.00 |
| 91300 |
|
16 |
15 |
$0.00 |
| 3017F |
|
6,559 |
5,996 |
$0.00 |
| 3048F |
|
264 |
254 |
$0.00 |
| 3061F |
|
2,809 |
2,544 |
$0.00 |
| 4008F |
|
6,770 |
6,168 |
$0.00 |
| 3066F |
|
3,044 |
2,770 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
66 |
62 |
$0.00 |
| 1036F |
|
18,396 |
16,932 |
$0.00 |
| 3075F |
|
9,543 |
9,175 |
$0.00 |
| 3079F |
|
14,978 |
14,261 |
$0.00 |
| 3060F |
|
489 |
441 |
$0.00 |
| 3052F |
|
309 |
275 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,073 |
1,027 |
$0.00 |
| 3044F |
|
7,208 |
6,514 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
845 |
801 |
$0.00 |
| 1031F |
|
1,526 |
1,472 |
$0.00 |
| 4000F |
|
2,119 |
2,019 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
888 |
801 |
$0.00 |
| 91301 |
|
221 |
219 |
$0.00 |
| 3049F |
|
42 |
42 |
$0.00 |
| 1035F |
|
31 |
29 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
22 |
19 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
35 |
32 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
20 |
16 |
$0.00 |