| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,543 |
17,375 |
$1.04M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15,315 |
12,379 |
$574K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,814 |
4,701 |
$218K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
933 |
821 |
$71K |
| 96127 |
|
14,374 |
11,167 |
$53K |
| 64493 |
|
152 |
113 |
$18K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
790 |
375 |
$16K |
| 80305 |
|
1,735 |
1,529 |
$13K |
| 97162 |
|
267 |
208 |
$12K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
695 |
329 |
$8K |
| 62370 |
|
216 |
142 |
$7K |
| 64494 |
|
111 |
87 |
$7K |
| 20552 |
|
333 |
234 |
$7K |
| 76942 |
|
215 |
149 |
$6K |
| 64635 |
|
32 |
29 |
$6K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
17 |
15 |
$5K |
| 64636 |
|
17 |
15 |
$4K |
| 27096 |
|
34 |
32 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
783 |
614 |
$2K |
| 97035 |
|
358 |
212 |
$2K |
| E0210 |
Electric heat pad, standard |
66 |
55 |
$2K |
| 99406 |
|
348 |
230 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
73 |
29 |
$1K |
| 99442 |
|
113 |
89 |
$693.27 |
| 99441 |
|
90 |
79 |
$523.07 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
33 |
$232.50 |
| 96136 |
|
40 |
20 |
$180.28 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
40 |
20 |
$137.52 |
| 99484 |
|
15 |
13 |
$89.56 |
| 96120 |
|
24 |
15 |
$74.20 |
| 96160 |
|
40 |
20 |
$50.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
54 |
$40.65 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
20 |
$17.22 |
| 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) |
472 |
361 |
$12.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$0.24 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,602 |
1,827 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,050 |
886 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
311 |
244 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
128 |
88 |
$0.00 |
| 1124F |
|
20 |
18 |
$0.00 |
| 96103 |
|
20 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,173 |
4,348 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
593 |
480 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
188 |
158 |
$0.00 |
| 1123F |
|
402 |
285 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
84 |
73 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
732 |
569 |
$0.00 |
| 1036F |
|
39 |
35 |
$0.00 |