| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,421 |
14,719 |
$828K |
| 99215 |
Prolong outpt/office vis |
6,491 |
4,956 |
$298K |
| 99490 |
Ccm add 20min |
10,063 |
9,368 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,285 |
1,819 |
$82K |
| 99349 |
|
3,035 |
2,261 |
$65K |
| 99358 |
Prolong nursin fac eval 15m |
3,246 |
2,957 |
$54K |
| 94664 |
|
6,952 |
5,598 |
$51K |
| 99350 |
Prolong home eval add 15m |
782 |
675 |
$51K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,070 |
3,531 |
$46K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,228 |
1,873 |
$45K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,984 |
1,735 |
$34K |
| 94010 |
|
2,072 |
1,874 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,254 |
1,882 |
$26K |
| 99354 |
|
493 |
433 |
$25K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
1,451 |
1,323 |
$25K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,359 |
2,083 |
$24K |
| 99205 |
Prolong outpt/office vis |
233 |
223 |
$21K |
| 99348 |
|
632 |
413 |
$17K |
| 99407 |
|
5,486 |
4,504 |
$16K |
| 92620 |
|
339 |
308 |
$14K |
| 80305 |
|
3,398 |
2,762 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,354 |
1,231 |
$12K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,335 |
1,216 |
$12K |
| Q4206 |
Fluid flow or fluid gf, 1 cc |
13 |
12 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,039 |
910 |
$10K |
| 99491 |
Ccm add 20min |
1,270 |
1,122 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
450 |
338 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
48 |
$4K |
| 99496 |
|
28 |
26 |
$3K |
| G0179 |
Physician or allowed practitioner re-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 |
490 |
434 |
$3K |
| 99401 |
|
934 |
773 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,691 |
2,419 |
$3K |
| 95923 |
|
168 |
133 |
$3K |
| 90686 |
|
295 |
231 |
$2K |
| 72100 |
|
127 |
114 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
317 |
283 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
126 |
$2K |
| 82947 |
|
1,361 |
1,209 |
$2K |
| 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 |
256 |
207 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
518 |
398 |
$1K |
| 36416 |
|
2,084 |
1,794 |
$1K |
| 20611 |
|
39 |
28 |
$797.58 |
| 93000 |
|
96 |
89 |
$685.78 |
| 81003 |
|
2,328 |
1,980 |
$648.35 |
| 73562 |
|
20 |
20 |
$533.62 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
20 |
19 |
$514.29 |
| 27096 |
|
14 |
12 |
$491.40 |
| 93040 |
|
96 |
89 |
$448.72 |
| 94760 |
|
307 |
284 |
$443.10 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,121 |
799 |
$424.79 |
| 99497 |
|
229 |
217 |
$272.85 |
| 97032 |
|
16 |
16 |
$263.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$237.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
838 |
595 |
$168.48 |
| 99404 |
|
69 |
55 |
$150.00 |
| 93790 |
|
78 |
62 |
$138.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
655 |
559 |
$97.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$73.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$73.62 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
29 |
28 |
$45.36 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
283 |
251 |
$38.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
212 |
163 |
$33.48 |
| J3490 |
Unclassified drugs |
90 |
74 |
$31.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$13.09 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
19 |
12 |
$12.40 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
234 |
196 |
$6.20 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
157 |
138 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
62 |
59 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
28 |
$0.00 |
| 99489 |
Ccm add 20min |
17 |
17 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
29 |
26 |
$0.00 |