| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3111 |
Injection, romosozumab-aqqg, 1 mg |
641 |
618 |
$109K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,976 |
1,809 |
$71K |
| 99487 |
Ccm add 20min |
2,093 |
2,013 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,014 |
6,197 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
230 |
218 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,500 |
8,027 |
$28K |
| 99454 |
|
1,981 |
1,679 |
$23K |
| 99443 |
|
766 |
603 |
$16K |
| J0897 |
Injection, denosumab, 1 mg |
266 |
263 |
$13K |
| 99457 |
|
2,405 |
2,182 |
$10K |
| 99490 |
Ccm add 20min |
2,404 |
2,310 |
$8K |
| 99458 |
|
2,329 |
2,111 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
657 |
198 |
$8K |
| 0004A |
|
188 |
188 |
$7K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
622 |
590 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,872 |
1,719 |
$6K |
| 0064A |
|
148 |
148 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
274 |
263 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
262 |
251 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
350 |
133 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
294 |
242 |
$3K |
| 99497 |
|
470 |
362 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
800 |
759 |
$3K |
| 0072A |
|
58 |
58 |
$2K |
| 99442 |
|
127 |
114 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
305 |
288 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
493 |
490 |
$1K |
| 0054A |
|
30 |
30 |
$1K |
| 90750 |
|
256 |
252 |
$1K |
| 99439 |
|
1,054 |
1,047 |
$821.74 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
433 |
173 |
$792.72 |
| 0071A |
|
19 |
19 |
$760.00 |
| 76981 |
|
114 |
114 |
$671.68 |
| 90686 |
|
458 |
455 |
$623.60 |
| 90715 |
|
102 |
102 |
$620.00 |
| 90677 |
|
217 |
216 |
$477.91 |
| 99489 |
Ccm add 20min |
46 |
46 |
$419.58 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
99 |
99 |
$411.85 |
| 99401 |
|
415 |
374 |
$399.85 |
| 90756 |
|
76 |
74 |
$379.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
146 |
$361.96 |
| 97032 |
|
1,325 |
545 |
$326.60 |
| 76770 |
|
101 |
100 |
$260.30 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
518 |
368 |
$242.89 |
| 90688 |
|
60 |
59 |
$168.00 |
| 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 |
13 |
13 |
$151.97 |
| G0008 |
Administration of influenza virus vaccine |
186 |
183 |
$140.00 |
| G0009 |
Administration of pneumococcal vaccine |
94 |
94 |
$133.68 |
| 99473 |
|
85 |
77 |
$126.92 |
| 99453 |
|
30 |
30 |
$112.54 |
| 97012 |
|
89 |
62 |
$108.71 |
| 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) |
188 |
161 |
$102.99 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
26 |
$94.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
371 |
368 |
$83.85 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
251 |
246 |
$80.74 |
| 76881 |
|
19 |
14 |
$78.76 |
| 90679 |
|
72 |
72 |
$73.00 |
| 82962 |
|
1,088 |
1,046 |
$64.59 |
| 99408 |
|
14 |
14 |
$31.24 |
| 97010 |
|
134 |
77 |
$30.76 |
| 97124 |
|
42 |
31 |
$20.38 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
189 |
80 |
$13.34 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
187 |
79 |
$12.10 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$2.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
34 |
$0.00 |
| 97802 |
|
21 |
21 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
27 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$0.00 |
| 3008F |
|
33 |
33 |
$0.00 |
| 91307 |
|
17 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
25 |
25 |
$0.00 |
| 3725F |
|
35 |
35 |
$0.00 |