| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,480 |
17,454 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,966 |
10,675 |
$1.00M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,717 |
8,654 |
$772K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,490 |
10,663 |
$538K |
| 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.) |
5,244 |
5,222 |
$226K |
| 99491 |
Ccm add 20min |
7,515 |
7,502 |
$141K |
| 99401 |
|
3,781 |
3,264 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
576 |
546 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
374 |
369 |
$50K |
| 99386 |
|
362 |
362 |
$41K |
| 99385 |
|
326 |
325 |
$33K |
| 99490 |
Ccm add 20min |
1,001 |
996 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
269 |
$24K |
| 99439 |
|
419 |
418 |
$22K |
| 99454 |
|
816 |
816 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
327 |
278 |
$21K |
| 99443 |
|
201 |
190 |
$18K |
| 99457 |
|
2,205 |
2,205 |
$17K |
| 99424 |
|
292 |
292 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
224 |
222 |
$16K |
| 94060 |
|
434 |
430 |
$16K |
| 99458 |
|
1,421 |
1,421 |
$15K |
| 93000 |
|
1,158 |
1,150 |
$14K |
| 94010 |
|
613 |
553 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
881 |
881 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
79 |
79 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
123 |
123 |
$11K |
| 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) |
933 |
803 |
$11K |
| 99349 |
|
406 |
381 |
$9K |
| 99497 |
|
628 |
610 |
$8K |
| 83970 |
|
531 |
531 |
$7K |
| 82607 |
|
972 |
971 |
$7K |
| 82728 |
|
954 |
953 |
$7K |
| 86141 |
|
1,053 |
1,052 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,107 |
1,106 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
515 |
358 |
$6K |
| 82746 |
|
914 |
913 |
$6K |
| 93976 |
|
80 |
77 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
208 |
189 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,024 |
1,024 |
$6K |
| 99442 |
|
101 |
94 |
$6K |
| 93880 |
|
37 |
37 |
$5K |
| 76536 |
|
62 |
62 |
$5K |
| 80061 |
Lipid panel |
1,137 |
1,136 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
964 |
962 |
$5K |
| 84681 |
|
540 |
540 |
$5K |
| 84439 |
|
1,015 |
1,015 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
686 |
587 |
$4K |
| 84480 |
|
914 |
914 |
$4K |
| 83735 |
|
1,152 |
1,150 |
$4K |
| 99441 |
|
99 |
98 |
$4K |
| 82977 |
|
1,066 |
1,065 |
$3K |
| 83615 |
|
1,062 |
1,061 |
$3K |
| 83550 |
|
952 |
951 |
$3K |
| 86769 |
|
147 |
147 |
$3K |
| 83525 |
|
557 |
557 |
$3K |
| 84100 |
|
1,072 |
1,070 |
$3K |
| 99406 |
|
225 |
204 |
$3K |
| 99397 |
|
87 |
82 |
$3K |
| 84550 |
|
1,071 |
1,070 |
$3K |
| 83540 |
|
951 |
949 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,293 |
1,131 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,109 |
1,107 |
$2K |
| 84403 |
|
125 |
125 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
467 |
461 |
$2K |
| 86376 |
|
505 |
505 |
$2K |
| 82627 |
|
115 |
115 |
$2K |
| 82785 |
|
472 |
472 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
364 |
301 |
$2K |
| 99387 |
|
210 |
209 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
90 |
90 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
90 |
90 |
$2K |
| 99492 |
|
53 |
53 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$2K |
| 93922 |
|
18 |
18 |
$2K |
| 76770 |
|
25 |
25 |
$2K |
| 99453 |
|
97 |
97 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
293 |
291 |
$1K |
| 84153 |
|
199 |
199 |
$1K |
| 3074F |
|
919 |
805 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,875 |
2,780 |
$1K |
| 3078F |
|
1,028 |
932 |
$1K |
| 95921 |
|
18 |
18 |
$1K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
116 |
116 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
225 |
225 |
$1K |
| 99344 |
|
75 |
74 |
$1K |
| 82248 |
|
358 |
358 |
$942.67 |
| 80305 |
|
186 |
186 |
$888.27 |
| 86431 |
|
517 |
517 |
$870.24 |
| 92567 |
|
65 |
60 |
$836.91 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
57 |
51 |
$778.54 |
| 81005 |
|
434 |
434 |
$709.00 |
| 83721 |
|
1,015 |
1,012 |
$644.11 |
| 88342 |
|
39 |
38 |
$643.28 |
| 88112 |
|
40 |
39 |
$554.39 |
| 81002 |
|
301 |
291 |
$490.04 |
| 90688 |
|
28 |
28 |
$467.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$451.58 |
| 82670 |
|
19 |
19 |
$430.00 |
| 82962 |
|
239 |
198 |
$357.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$326.80 |
| 3075F |
|
348 |
331 |
$315.83 |
| 82043 |
|
67 |
67 |
$308.64 |
| 82570 |
|
67 |
67 |
$306.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$275.76 |
| 3079F |
|
367 |
342 |
$270.00 |
| 82247 |
|
1,097 |
1,095 |
$269.78 |
| 83002 |
|
17 |
17 |
$233.16 |
| 88313 |
|
39 |
38 |
$231.08 |
| 84146 |
|
14 |
14 |
$224.62 |
| 83001 |
|
15 |
15 |
$217.01 |
| 84144 |
|
12 |
12 |
$216.74 |
| 99422 |
|
12 |
12 |
$216.09 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
36 |
33 |
$154.13 |
| 96127 |
|
72 |
72 |
$114.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$45.78 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
27 |
18 |
$17.33 |
| 3077F |
|
133 |
126 |
$4.38 |
| 3725F |
|
153 |
153 |
$0.00 |
| 1160F |
|
81 |
81 |
$0.00 |
| 1159F |
|
76 |
76 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| 3044F |
|
30 |
30 |
$0.00 |
| 3008F |
|
81 |
81 |
$0.00 |