| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105,996 |
82,236 |
$3.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67,695 |
57,621 |
$2.80M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
40,594 |
35,391 |
$1.87M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67,859 |
58,303 |
$877K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65,105 |
29,161 |
$822K |
| 99000 |
|
71,457 |
57,441 |
$710K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,477 |
8,261 |
$650K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,350 |
7,176 |
$588K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,089 |
5,869 |
$511K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47,047 |
23,633 |
$504K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,581 |
6,251 |
$486K |
| 87807 |
|
29,245 |
24,562 |
$306K |
| S9470 |
Nutritional counseling, dietitian visit |
5,173 |
4,970 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,264 |
3,167 |
$181K |
| 99444 |
|
2,056 |
494 |
$118K |
| 99381 |
|
1,428 |
1,370 |
$108K |
| 99350 |
Prolong home eval add 15m |
4,116 |
3,511 |
$101K |
| 99429 |
|
3,144 |
3,080 |
$99K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,748 |
1,508 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,214 |
1,152 |
$94K |
| 99490 |
Ccm add 20min |
20,972 |
20,907 |
$80K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,407 |
8,217 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,188 |
7,793 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
941 |
893 |
$55K |
| 99383 |
|
620 |
598 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,989 |
1,852 |
$45K |
| H0049 |
Alcohol and/or drug screening |
6,382 |
6,068 |
$43K |
| 81002 |
|
14,626 |
13,840 |
$38K |
| 99382 |
|
407 |
400 |
$36K |
| 90461 |
|
6,041 |
5,043 |
$31K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,549 |
2,374 |
$31K |
| 0001A |
|
945 |
880 |
$30K |
| 0071A |
|
815 |
800 |
$28K |
| 93000 |
|
2,157 |
2,055 |
$24K |
| 0072A |
|
599 |
593 |
$22K |
| 99215 |
Prolong outpt/office vis |
690 |
642 |
$21K |
| 0002A |
|
545 |
530 |
$20K |
| 90480 |
|
730 |
665 |
$19K |
| 99487 |
Ccm add 20min |
2,431 |
2,422 |
$19K |
| 99483 |
Prolong outpt/office vis |
766 |
747 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
189 |
184 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,801 |
3,505 |
$17K |
| 0003A |
|
506 |
485 |
$17K |
| 97750 |
|
3,880 |
3,692 |
$17K |
| 90688 |
|
1,596 |
1,281 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,426 |
1,293 |
$14K |
| 99384 |
|
136 |
132 |
$13K |
| 0081A |
|
326 |
317 |
$12K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
253 |
241 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,988 |
2,942 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,810 |
3,687 |
$9K |
| 99358 |
Prolong nursin fac eval 15m |
464 |
444 |
$9K |
| 69210 |
|
326 |
274 |
$9K |
| 96160 |
|
5,850 |
5,702 |
$9K |
| 99349 |
|
458 |
424 |
$8K |
| 99051 |
|
1,263 |
1,189 |
$8K |
| 0073A |
|
276 |
253 |
$8K |
| 90623 |
|
106 |
103 |
$7K |
| 0082A |
|
185 |
181 |
$7K |
| 0124A |
|
146 |
145 |
$6K |
| 80061 |
Lipid panel |
1,454 |
1,421 |
$6K |
| 0011A |
|
303 |
296 |
$4K |
| 0012A |
|
292 |
287 |
$4K |
| 0013A |
|
331 |
324 |
$3K |
| 82271 |
|
729 |
686 |
$3K |
| 0154A |
|
77 |
77 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,295 |
2,054 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
110 |
83 |
$3K |
| 86580 |
|
344 |
312 |
$3K |
| 81025 |
|
369 |
347 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,441 |
3,155 |
$2K |
| 0111A |
|
61 |
60 |
$2K |
| 0064A |
|
180 |
175 |
$2K |
| 84030 |
|
746 |
708 |
$2K |
| 99484 |
|
447 |
431 |
$2K |
| 90662 |
|
2,240 |
2,141 |
$2K |
| 96380 |
|
70 |
70 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,572 |
3,512 |
$1K |
| 99497 |
|
352 |
339 |
$1K |
| 99385 |
|
23 |
15 |
$1K |
| 17250 |
|
13 |
12 |
$977.86 |
| 96381 |
|
62 |
61 |
$977.04 |
| 87420 |
|
132 |
118 |
$944.04 |
| 87081 |
|
294 |
274 |
$919.05 |
| 99318 |
|
15 |
15 |
$889.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,996 |
4,862 |
$845.92 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
199 |
189 |
$703.56 |
| 99050 |
|
187 |
166 |
$687.24 |
| 99496 |
|
341 |
331 |
$676.42 |
| 90732 |
|
33 |
30 |
$655.66 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
4,965 |
4,759 |
$609.10 |
| 0112A |
|
18 |
16 |
$600.00 |
| 0134A |
|
37 |
34 |
$390.00 |
| 99439 |
|
1,159 |
1,124 |
$368.12 |
| 99491 |
Ccm add 20min |
107 |
107 |
$364.53 |
| 92567 |
|
33 |
29 |
$356.81 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,232 |
3,094 |
$308.34 |
| 95251 |
|
42 |
40 |
$213.36 |
| 82270 |
|
251 |
221 |
$187.68 |
| 99347 |
|
14 |
13 |
$167.01 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
726 |
641 |
$159.48 |
| 77080 |
|
72 |
36 |
$156.23 |
| 90658 |
|
7,944 |
7,804 |
$149.66 |
| 36415 |
Collection of venous blood by venipuncture |
10,259 |
9,757 |
$134.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,841 |
1,708 |
$116.63 |
| 95250 |
|
28 |
27 |
$75.82 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
29 |
$59.17 |
| 90734 |
|
1,902 |
1,864 |
$50.02 |
| 90715 |
|
1,158 |
1,133 |
$45.50 |
| 99442 |
|
13 |
13 |
$34.27 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
177 |
172 |
$20.15 |
| 90656 |
|
334 |
327 |
$17.47 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$9.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
57 |
47 |
$8.87 |
| 90677 |
|
1,708 |
1,671 |
$2.07 |
| 90651 |
|
1,984 |
1,962 |
$1.04 |
| 90620 |
|
1,225 |
1,195 |
$0.74 |
| 90672 |
|
840 |
832 |
$0.47 |
| 91322 |
|
139 |
135 |
$0.05 |
| 91320 |
|
47 |
45 |
$0.01 |
| 91321 |
|
235 |
220 |
$0.00 |
| 90670 |
|
3,902 |
3,832 |
$0.00 |
| 1160F |
|
97,164 |
68,882 |
$0.00 |
| 1159F |
|
97,163 |
68,876 |
$0.00 |
| 90655 |
|
136 |
132 |
$0.00 |
| 90700 |
|
1,356 |
1,314 |
$0.00 |
| 1100F |
|
408 |
399 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,485 |
1,438 |
$0.00 |
| 2028F |
|
213 |
207 |
$0.00 |
| 3078F |
|
239 |
226 |
$0.00 |
| 90707 |
|
1,394 |
1,368 |
$0.00 |
| 90633 |
|
2,796 |
2,737 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
101 |
98 |
$0.00 |
| 90648 |
|
2,297 |
2,240 |
$0.00 |
| 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) |
494 |
451 |
$0.00 |
| 90710 |
|
1,180 |
1,157 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
91 |
81 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
435 |
431 |
$0.00 |
| 3045F |
|
83 |
82 |
$0.00 |
| 90380 |
|
196 |
177 |
$0.00 |
| 3046F |
|
24 |
24 |
$0.00 |
| 1170F |
|
4,143 |
4,022 |
$0.00 |
| 1101F |
|
1,715 |
1,702 |
$0.00 |
| 90696 |
|
1,098 |
1,076 |
$0.00 |
| 90744 |
|
499 |
486 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
1,796 |
1,781 |
$0.00 |
| 90698 |
|
2,033 |
2,003 |
$0.00 |
| 90716 |
|
1,432 |
1,408 |
$0.00 |
| 90697 |
|
1,264 |
1,242 |
$0.00 |
| 1126F |
|
205 |
200 |
$0.00 |
| 3044F |
|
1,037 |
1,018 |
$0.00 |
| 82962 |
|
815 |
749 |
$0.00 |
| 90657 |
|
2,946 |
2,868 |
$0.00 |
| 1111F |
|
1,169 |
1,113 |
$0.00 |
| 90723 |
|
928 |
913 |
$0.00 |
| 90680 |
|
3,836 |
3,770 |
$0.00 |
| 91319 |
|
119 |
84 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
2,843 |
2,392 |
$0.00 |
| 1123F |
|
231 |
227 |
$0.00 |
| 90381 |
|
143 |
123 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
37 |
34 |
$0.00 |
| 91318 |
|
131 |
84 |
$0.00 |
| 3074F |
|
137 |
128 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
30 |
29 |
$0.00 |
| 1125F |
|
51 |
43 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
25 |
24 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |