| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,086 |
45,707 |
$2.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,721 |
27,197 |
$1.20M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,708 |
8,250 |
$562K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,118 |
4,635 |
$437K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,193 |
3,570 |
$263K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19,853 |
12,058 |
$231K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,044 |
2,435 |
$192K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,944 |
2,797 |
$185K |
| 99349 |
|
7,267 |
6,162 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,322 |
5,034 |
$137K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,885 |
1,818 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,455 |
2,377 |
$119K |
| 99223 |
Prolong inpt eval add15 m |
2,305 |
1,932 |
$107K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,045 |
1,002 |
$101K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
688 |
670 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,248 |
1,219 |
$88K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,886 |
1,752 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
999 |
979 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,359 |
2,063 |
$66K |
| 99307 |
|
6,270 |
2,073 |
$61K |
| 99403 |
|
1,645 |
1,605 |
$59K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,715 |
362 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
710 |
687 |
$54K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,900 |
1,691 |
$50K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
578 |
570 |
$38K |
| 99442 |
|
1,967 |
1,741 |
$30K |
| 76813 |
|
378 |
375 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,467 |
3,199 |
$28K |
| 92551 |
|
2,633 |
2,558 |
$27K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,008 |
998 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,154 |
1,468 |
$24K |
| 76820 |
|
958 |
558 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
348 |
334 |
$22K |
| 76830 |
Ultrasound, transvaginal |
252 |
239 |
$21K |
| 99443 |
|
1,244 |
1,063 |
$21K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
208 |
203 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
222 |
222 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,356 |
1,338 |
$19K |
| 93000 |
|
2,584 |
2,454 |
$18K |
| 99348 |
|
957 |
789 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
773 |
687 |
$17K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
181 |
176 |
$17K |
| 90686 |
|
1,743 |
1,709 |
$13K |
| 90670 |
|
153 |
148 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
746 |
527 |
$11K |
| 99347 |
|
533 |
503 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
176 |
$9K |
| 99441 |
|
622 |
548 |
$9K |
| 76818 |
|
249 |
131 |
$9K |
| 90682 |
|
222 |
221 |
$8K |
| 99215 |
Prolong outpt/office vis |
176 |
124 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,146 |
4,974 |
$8K |
| 43775 |
|
16 |
16 |
$8K |
| 99397 |
|
387 |
358 |
$7K |
| 99205 |
Prolong outpt/office vis |
111 |
97 |
$7K |
| 11721 |
|
1,391 |
1,368 |
$6K |
| 93975 |
|
148 |
142 |
$6K |
| 96127 |
|
1,769 |
1,168 |
$5K |
| 99173 |
|
1,528 |
1,492 |
$5K |
| 90662 |
|
897 |
857 |
$5K |
| 97803 |
|
1,449 |
1,254 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
238 |
221 |
$4K |
| 81025 |
|
1,228 |
1,009 |
$4K |
| 99497 |
|
1,573 |
1,486 |
$3K |
| 81003 |
|
3,413 |
3,250 |
$3K |
| 90961 |
|
86 |
81 |
$3K |
| 92567 |
|
333 |
278 |
$3K |
| 97802 |
|
444 |
353 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
159 |
149 |
$2K |
| 11056 |
|
832 |
824 |
$2K |
| 90671 |
|
26 |
25 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
882 |
795 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
381 |
249 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
109 |
96 |
$2K |
| 90651 |
|
47 |
46 |
$2K |
| 76801 |
|
25 |
25 |
$2K |
| 90688 |
|
96 |
95 |
$2K |
| 90656 |
|
137 |
136 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,158 |
1,085 |
$2K |
| 99305 |
|
68 |
59 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
45 |
12 |
$1K |
| 81002 |
|
842 |
709 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
467 |
303 |
$1K |
| 82962 |
|
3,017 |
2,802 |
$1K |
| 93018 |
|
109 |
101 |
$1K |
| 90619 |
|
32 |
31 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
19,748 |
17,005 |
$1K |
| 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 |
152 |
151 |
$1K |
| 90685 |
|
79 |
79 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
40 |
24 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
108 |
$985.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$964.39 |
| 99495 |
|
13 |
12 |
$852.98 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$836.98 |
| G0008 |
Administration of influenza virus vaccine |
787 |
765 |
$821.26 |
| 90674 |
|
54 |
54 |
$753.95 |
| 93016 |
|
109 |
101 |
$625.81 |
| 3074F |
|
7,509 |
6,658 |
$599.00 |
| 99336 |
|
31 |
31 |
$580.66 |
| 51784 |
|
15 |
12 |
$494.94 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,023 |
966 |
$484.80 |
| 99024 |
|
893 |
679 |
$484.00 |
| 3078F |
|
6,683 |
5,921 |
$475.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
91 |
89 |
$386.10 |
| 87807 |
|
57 |
51 |
$351.12 |
| 1126F |
|
7,948 |
6,995 |
$314.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
21 |
$292.12 |
| 94060 |
|
12 |
12 |
$282.36 |
| 99221 |
|
14 |
14 |
$219.06 |
| 3079F |
|
2,984 |
2,703 |
$176.00 |
| 90734 |
|
12 |
12 |
$126.24 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
29 |
28 |
$122.99 |
| 96161 |
|
53 |
51 |
$119.73 |
| 99421 |
|
19 |
17 |
$100.12 |
| 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 |
70 |
70 |
$82.63 |
| 1125F |
|
2,023 |
1,785 |
$81.00 |
| 93225 |
|
14 |
14 |
$67.67 |
| 1160F |
|
14,143 |
12,205 |
$63.01 |
| 1159F |
|
14,142 |
12,205 |
$62.01 |
| 3075F |
|
1,600 |
1,480 |
$49.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
12 |
$43.87 |
| 3044F |
|
447 |
405 |
$9.00 |
| 3077F |
|
309 |
267 |
$9.00 |
| G0320 |
Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system |
67 |
60 |
$5.04 |
| 1170F |
|
230 |
195 |
$1.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
202 |
173 |
$1.00 |
| 1124F |
|
577 |
493 |
$1.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13,472 |
11,250 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,051 |
4,279 |
$0.00 |
| 1036F |
|
14,692 |
12,407 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16,075 |
13,549 |
$0.00 |
| 3017F |
|
1,565 |
1,369 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
30 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,813 |
5,951 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
60 |
55 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
309 |
276 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
99 |
81 |
$0.00 |
| 1123F |
|
118 |
99 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
73 |
63 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
178 |
159 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
94 |
73 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 0502F |
|
1,103 |
655 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,321 |
4,759 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14,685 |
12,434 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,310 |
1,108 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
532 |
459 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
279 |
244 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
516 |
462 |
$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) |
1,045 |
928 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
251 |
214 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
20 |
20 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
186 |
169 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
333 |
287 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
32 |
28 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |