| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,723 |
19,631 |
$722K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,118 |
5,525 |
$296K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,058 |
1,941 |
$227K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,461 |
2,388 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,865 |
1,825 |
$98K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,552 |
1,474 |
$72K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,544 |
1,658 |
$40K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
681 |
643 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
646 |
614 |
$31K |
| 90670 |
|
1,964 |
1,908 |
$19K |
| 90723 |
|
1,705 |
1,651 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
679 |
510 |
$16K |
| 90648 |
|
1,610 |
1,564 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
231 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
230 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
364 |
348 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
189 |
172 |
$9K |
| 90681 |
|
895 |
862 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
84 |
81 |
$7K |
| 90633 |
|
707 |
674 |
$7K |
| 99460 |
|
63 |
60 |
$6K |
| 80050 |
General health panel |
125 |
114 |
$5K |
| 90707 |
|
549 |
540 |
$5K |
| 90716 |
|
539 |
528 |
$5K |
| 90756 |
|
483 |
416 |
$5K |
| 54150 |
|
30 |
29 |
$5K |
| 99383 |
|
74 |
71 |
$4K |
| 71020 |
|
81 |
80 |
$3K |
| 84439 |
|
221 |
207 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
36 |
$2K |
| 99381 |
|
33 |
33 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
474 |
425 |
$2K |
| 99382 |
|
35 |
33 |
$1K |
| 90700 |
|
162 |
153 |
$1K |
| 99490 |
Ccm add 20min |
140 |
139 |
$984.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
35 |
$951.26 |
| G0008 |
Administration of influenza virus vaccine |
235 |
214 |
$941.23 |
| 81001 |
|
234 |
216 |
$922.77 |
| 90686 |
|
96 |
91 |
$889.46 |
| 90685 |
|
101 |
94 |
$889.08 |
| 80053 |
Comprehensive metabolic panel |
126 |
119 |
$701.07 |
| 90734 |
|
61 |
54 |
$697.98 |
| 90696 |
|
66 |
65 |
$649.30 |
| 99384 |
|
15 |
12 |
$620.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
58 |
$592.92 |
| 99406 |
|
41 |
35 |
$560.00 |
| 80061 |
Lipid panel |
67 |
61 |
$473.07 |
| 90680 |
|
45 |
45 |
$430.20 |
| 93000 |
|
16 |
15 |
$419.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
12 |
$414.58 |
| 90661 |
|
22 |
19 |
$295.91 |
| 90658 |
|
28 |
27 |
$258.12 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
51 |
50 |
$226.98 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
13 |
$202.40 |
| 90715 |
|
18 |
13 |
$193.30 |
| 83721 |
|
14 |
14 |
$149.82 |
| 81003 |
|
84 |
80 |
$134.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39 |
39 |
$120.90 |
| 99315 |
|
14 |
14 |
$118.50 |
| 84550 |
|
16 |
15 |
$77.84 |
| 36415 |
Collection of venous blood by venipuncture |
573 |
515 |
$58.05 |
| 1125F |
|
2,803 |
2,485 |
$56.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$27.33 |
| 3074F |
|
2,834 |
2,497 |
$20.00 |
| 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) |
85 |
73 |
$12.23 |
| 3078F |
|
2,802 |
2,457 |
$10.00 |
| 3079F |
|
660 |
618 |
$10.00 |
| 1160F |
|
9,156 |
7,920 |
$0.00 |
| 1159F |
|
9,275 |
8,014 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,107 |
979 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
151 |
135 |
$0.00 |
| 3725F |
|
3,536 |
3,069 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,945 |
1,689 |
$0.00 |
| 3288F |
|
1,394 |
1,178 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
51 |
48 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
199 |
179 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
101 |
89 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
317 |
285 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
120 |
108 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 1036F |
|
3,321 |
2,849 |
$0.00 |
| 3008F |
|
8,730 |
7,585 |
$0.00 |
| 3075F |
|
372 |
347 |
$0.00 |
| 1034F |
|
294 |
264 |
$0.00 |
| 1126F |
|
1,588 |
1,446 |
$0.00 |
| 1170F |
|
1,739 |
1,518 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
280 |
254 |
$0.00 |
| 96161 |
|
90 |
87 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
620 |
569 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
51 |
48 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
52 |
44 |
$0.00 |