| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,607 |
43,386 |
$2.67M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26,705 |
22,494 |
$265K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
10,499 |
9,128 |
$69K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,486 |
1,341 |
$68K |
| 99307 |
|
4,325 |
4,209 |
$52K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,465 |
1,396 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
424 |
$33K |
| 20610 |
|
1,317 |
1,175 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
873 |
765 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
479 |
431 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
192 |
140 |
$10K |
| 99219 |
|
67 |
62 |
$6K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
960 |
861 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
401 |
358 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
404 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,441 |
8,565 |
$5K |
| 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 |
425 |
385 |
$5K |
| 90756 |
|
314 |
298 |
$4K |
| 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 |
384 |
370 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,957 |
2,492 |
$3K |
| 99217 |
|
67 |
61 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,881 |
2,536 |
$2K |
| 81003 |
|
1,204 |
1,085 |
$2K |
| 90688 |
|
191 |
184 |
$1K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
504 |
399 |
$723.92 |
| 90686 |
|
99 |
92 |
$666.06 |
| 81025 |
|
39 |
36 |
$240.25 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
121 |
102 |
$201.25 |
| 82962 |
|
121 |
102 |
$197.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$87.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
83 |
39 |
$54.93 |
| G0008 |
Administration of influenza virus vaccine |
154 |
148 |
$15.60 |
| 1159F |
|
1,173 |
954 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,447 |
1,179 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
161 |
160 |
$0.00 |
| 3078F |
|
758 |
665 |
$0.00 |
| 3077F |
|
611 |
530 |
$0.00 |
| 1160F |
|
467 |
401 |
$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) |
75 |
75 |
$0.00 |
| 99497 |
|
15 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
86 |
85 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
159 |
159 |
$0.00 |
| 90674 |
|
24 |
24 |
$0.00 |
| 3017F |
|
61 |
61 |
$0.00 |
| 3079F |
|
505 |
455 |
$0.00 |
| 1126F |
|
826 |
683 |
$0.00 |
| 3074F |
|
688 |
610 |
$0.00 |
| 3075F |
|
335 |
309 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
53 |
52 |
$0.00 |
| 3080F |
|
339 |
303 |
$0.00 |
| 1125F |
|
564 |
483 |
$0.00 |
| 1170F |
|
417 |
359 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
15 |
15 |
$0.00 |