| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,052 |
49,783 |
$518K |
| 99490 |
Ccm add 20min |
35,740 |
35,723 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,339 |
14,136 |
$149K |
| 99223 |
Prolong inpt eval add15 m |
1,607 |
1,554 |
$148K |
| 99233 |
Prolong inpt eval add15 m |
6,390 |
2,601 |
$124K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,369 |
2,344 |
$72K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,364 |
2,358 |
$69K |
| 20610 |
|
1,715 |
1,092 |
$68K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,145 |
3,849 |
$66K |
| 99497 |
|
2,100 |
2,099 |
$30K |
| 93000 |
|
6,058 |
5,969 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,989 |
1,924 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,805 |
4,986 |
$24K |
| 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 |
959 |
956 |
$22K |
| 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 |
845 |
837 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,211 |
2,153 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
248 |
228 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
9,704 |
9,510 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,895 |
1,826 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,001 |
1,994 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,164 |
6,159 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,176 |
2,851 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,014 |
2,010 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,552 |
2,446 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
1,207 |
1,203 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,034 |
2,030 |
$2K |
| 99336 |
|
67 |
67 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$1K |
| 90658 |
|
87 |
87 |
$1K |
| 81002 |
|
2,559 |
2,515 |
$1K |
| 82962 |
|
3,632 |
3,355 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
74 |
12 |
$1K |
| 69210 |
|
369 |
363 |
$961.87 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
79 |
$928.21 |
| 17000 |
|
64 |
63 |
$636.73 |
| 71046 |
Radiologic examination, chest; 2 views |
228 |
221 |
$553.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,028 |
2,980 |
$521.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,456 |
2,445 |
$514.00 |
| 80061 |
Lipid panel |
2,407 |
2,405 |
$475.08 |
| 90756 |
|
367 |
367 |
$384.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,408 |
1,395 |
$364.51 |
| 90688 |
|
768 |
766 |
$339.76 |
| 90694 |
|
181 |
181 |
$298.28 |
| 80076 |
|
2,394 |
2,389 |
$251.16 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,239 |
1,236 |
$241.91 |
| 90686 |
|
544 |
544 |
$223.91 |
| 3008F |
|
445 |
444 |
$198.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,783 |
1,783 |
$197.84 |
| 99406 |
|
494 |
490 |
$185.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
245 |
245 |
$172.93 |
| 82668 |
|
1,022 |
1,020 |
$171.70 |
| 3725F |
|
593 |
592 |
$161.78 |
| 99441 |
|
2,943 |
2,837 |
$141.50 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
28 |
15 |
$131.95 |
| 82746 |
|
1,021 |
1,019 |
$129.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
623 |
621 |
$124.79 |
| 77085 |
|
31 |
31 |
$123.63 |
| 82728 |
|
1,021 |
1,019 |
$119.37 |
| 82607 |
|
881 |
879 |
$90.76 |
| 83550 |
|
1,022 |
1,020 |
$70.97 |
| 17003 |
|
64 |
63 |
$64.90 |
| 83540 |
|
1,022 |
1,020 |
$56.60 |
| 96116 |
|
183 |
173 |
$32.02 |
| 90670 |
|
12 |
12 |
$31.02 |
| 80053 |
Comprehensive metabolic panel |
304 |
297 |
$20.70 |
| 72100 |
|
16 |
16 |
$17.17 |
| 82270 |
|
57 |
57 |
$5.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,577 |
1,577 |
$0.00 |
| 4040F |
|
329 |
327 |
$0.00 |
| 1124F |
|
448 |
445 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
386 |
382 |
$0.00 |
| 3288F |
|
498 |
494 |
$0.00 |
| 99442 |
|
300 |
294 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
358 |
358 |
$0.00 |
| 3045F |
|
37 |
36 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
18 |
18 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
138 |
138 |
$0.00 |
| 90653 |
|
21 |
21 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
24 |
24 |
$0.00 |
| 1090F |
|
15 |
15 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
29 |
29 |
$0.00 |
| 1036F |
|
652 |
648 |
$0.00 |
| 99386 |
|
65 |
65 |
$0.00 |
| 96156 |
|
2,223 |
2,222 |
$0.00 |
| 84436 |
|
209 |
209 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
38 |
38 |
$0.00 |
| 4245F |
|
428 |
426 |
$0.00 |
| 84479 |
|
209 |
209 |
$0.00 |
| 84153 |
|
68 |
68 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
28 |
28 |
$0.00 |
| 96127 |
|
441 |
441 |
$0.00 |
| 96150 |
|
1,045 |
1,045 |
$0.00 |
| 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) |
120 |
116 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
116 |
115 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
212 |
212 |
$0.00 |
| 1101F |
|
368 |
364 |
$0.00 |
| 99385 |
|
27 |
27 |
$0.00 |
| 4086F |
|
26 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |