| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,499 |
7,345 |
$576K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,693 |
7,652 |
$366K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
353 |
314 |
$19K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
193 |
173 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
299 |
262 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
379 |
310 |
$7K |
| 90686 |
|
628 |
555 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
458 |
400 |
$2K |
| 87631 |
|
15 |
13 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
262 |
244 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$928.55 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$732.98 |
| 11721 |
|
12 |
12 |
$604.20 |
| 0001A |
|
14 |
13 |
$496.08 |
| 0072A |
|
25 |
12 |
$460.52 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$450.12 |
| 0071A |
|
23 |
12 |
$421.28 |
| 99443 |
|
13 |
12 |
$386.57 |
| 92551 |
|
41 |
29 |
$343.34 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
12 |
$293.16 |
| 90688 |
|
27 |
26 |
$268.83 |
| 99442 |
|
14 |
14 |
$220.92 |
| 36415 |
Collection of venous blood by venipuncture |
5,213 |
4,462 |
$206.69 |
| 99173 |
|
21 |
12 |
$153.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$109.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$103.56 |
| 85027 |
|
12 |
12 |
$71.51 |
| 96127 |
|
14 |
13 |
$51.53 |
| 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) |
155 |
135 |
$47.99 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
39 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
12 |
$0.00 |
| 91307 |
|
32 |
13 |
$0.00 |
| 91300 |
|
84 |
78 |
$0.00 |