| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,695 |
16,496 |
$897K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,151 |
19,444 |
$780K |
| 99442 |
|
4,074 |
3,287 |
$109K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,249 |
2,703 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,684 |
1,213 |
$79K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
637 |
500 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
632 |
588 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,762 |
786 |
$34K |
| 99441 |
|
2,008 |
1,541 |
$30K |
| 99215 |
Prolong outpt/office vis |
554 |
442 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
470 |
401 |
$26K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,031 |
5,856 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
1,597 |
372 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,260 |
2,549 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
438 |
281 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,148 |
1,664 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
303 |
235 |
$11K |
| 99173 |
|
1,273 |
1,041 |
$10K |
| 92552 |
|
1,130 |
910 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
58 |
43 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
399 |
262 |
$7K |
| 59025 |
Fetal non-stress test |
366 |
172 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
78 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
464 |
364 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
210 |
168 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
88 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
181 |
102 |
$5K |
| 76830 |
Ultrasound, transvaginal |
138 |
89 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
171 |
86 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
174 |
74 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
275 |
218 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
141 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
435 |
374 |
$3K |
| 76801 |
|
121 |
51 |
$3K |
| 90474 |
|
339 |
257 |
$2K |
| 97597 |
|
39 |
15 |
$2K |
| 99443 |
|
49 |
46 |
$1K |
| 96127 |
|
410 |
339 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
16 |
12 |
$1K |
| 92551 |
|
109 |
100 |
$993.03 |
| 20610 |
|
81 |
58 |
$916.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
341 |
$710.54 |
| 43235 |
|
17 |
12 |
$709.58 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
91 |
41 |
$643.01 |
| 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 |
15 |
13 |
$480.89 |
| 90686 |
|
92 |
85 |
$436.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
94 |
$267.07 |
| 81002 |
|
155 |
84 |
$240.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
59 |
$207.66 |
| 96161 |
|
211 |
139 |
$145.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
12 |
$124.15 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
28 |
$54.88 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
36 |
36 |
$52.14 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
47 |
46 |
$19.58 |
| G0008 |
Administration of influenza virus vaccine |
59 |
52 |
$17.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
72 |
$2.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$1.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$1.48 |
| 90677 |
|
449 |
369 |
$1.12 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,079 |
13,951 |
$0.32 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
45 |
41 |
$0.19 |
| 90697 |
|
149 |
128 |
$0.19 |
| 0500F |
|
138 |
71 |
$0.16 |
| 0503F |
|
28 |
25 |
$0.10 |
| 90619 |
|
44 |
35 |
$0.07 |
| 90661 |
|
58 |
58 |
$0.03 |
| 90651 |
|
28 |
23 |
$0.02 |
| 90681 |
|
43 |
39 |
$0.01 |
| 0502F |
|
4,432 |
2,506 |
$0.01 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,075 |
1,586 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,009 |
3,826 |
$0.01 |
| 90633 |
|
92 |
91 |
$0.01 |
| 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 |
100 |
84 |
$0.01 |
| 90715 |
|
19 |
13 |
$0.01 |
| 90648 |
|
13 |
12 |
$0.01 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
759 |
601 |
$0.01 |
| 1126F |
|
10,598 |
8,226 |
$0.01 |
| 90688 |
|
319 |
272 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,965 |
4,593 |
$0.01 |
| 90680 |
|
210 |
166 |
$0.01 |
| 90716 |
|
13 |
13 |
$0.01 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
14 |
13 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
596 |
434 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
69 |
58 |
$0.00 |
| 90670 |
|
155 |
124 |
$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) |
52 |
46 |
$0.00 |
| 90662 |
|
15 |
13 |
$0.00 |
| 1124F |
|
182 |
133 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
94 |
82 |
$0.00 |
| G9989 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) |
15 |
13 |
$0.00 |
| 1160F |
|
15 |
12 |
$0.00 |
| 96160 |
|
20 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90710 |
|
31 |
29 |
$0.00 |
| 3044F |
|
1,345 |
1,010 |
$0.00 |
| 1036F |
|
758 |
520 |
$0.00 |
| 1125F |
|
3,841 |
2,878 |
$0.00 |
| 3017F |
|
864 |
630 |
$0.00 |
| 3008F |
|
1,240 |
1,027 |
$0.00 |
| 99024 |
|
17 |
12 |
$0.00 |
| 1123F |
|
254 |
216 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
126 |
90 |
$0.00 |
| 90657 |
|
18 |
12 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
77 |
77 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
12 |
$0.00 |
| 90696 |
|
31 |
29 |
$0.00 |