| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,379 |
18,791 |
$1.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,727 |
7,787 |
$554K |
| 99215 |
Prolong outpt/office vis |
1,111 |
1,001 |
$95K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,408 |
1,757 |
$91K |
| 93000 |
|
9,022 |
8,369 |
$84K |
| 93922 |
|
762 |
614 |
$63K |
| 92587 |
|
2,646 |
2,484 |
$60K |
| 99490 |
Ccm add 20min |
3,959 |
3,674 |
$45K |
| 99401 |
|
1,313 |
1,149 |
$45K |
| 96127 |
|
2,216 |
2,080 |
$39K |
| 94010 |
|
2,295 |
2,056 |
$27K |
| 95923 |
|
695 |
657 |
$27K |
| 94760 |
|
18,515 |
15,219 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
165 |
$19K |
| 95921 |
|
655 |
616 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
323 |
295 |
$13K |
| 82570 |
|
2,953 |
1,476 |
$11K |
| 99402 |
|
195 |
185 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
42 |
$6K |
| 92588 |
|
266 |
256 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
96 |
95 |
$6K |
| 76706 |
|
245 |
234 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,167 |
1,101 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 99173 |
|
481 |
462 |
$3K |
| 93923 |
|
97 |
93 |
$2K |
| 87634 |
|
53 |
52 |
$2K |
| 93040 |
|
373 |
350 |
$2K |
| 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 |
141 |
119 |
$2K |
| 99443 |
|
35 |
30 |
$2K |
| 95012 |
|
171 |
150 |
$2K |
| 99439 |
|
89 |
85 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 99406 |
|
114 |
94 |
$950.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
59 |
$886.66 |
| A4614 |
Peak expiratory flow rate meter, hand held |
1,183 |
1,083 |
$707.67 |
| 99408 |
|
32 |
30 |
$689.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
59 |
$515.50 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$332.84 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
27 |
27 |
$207.50 |
| 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) |
36 |
32 |
$190.62 |
| 81002 |
|
551 |
495 |
$72.60 |
| A4617 |
Mouth piece |
270 |
248 |
$34.02 |
| 99497 |
|
15 |
12 |
$14.67 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
291 |
266 |
$11.22 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
200 |
182 |
$5.12 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
291 |
245 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
208 |
176 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
156 |
133 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
32 |
25 |
$0.00 |
| 3078F |
|
159 |
136 |
$0.00 |
| 3288F |
|
20 |
16 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
211 |
169 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
18 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
25 |
$0.00 |
| 90653 |
|
15 |
12 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
253 |
211 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
160 |
134 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
25 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
36 |
26 |
$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) |
36 |
27 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
285 |
240 |
$0.00 |
| 1036F |
|
333 |
281 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
75 |
62 |
$0.00 |
| 3074F |
|
135 |
118 |
$0.00 |
| 1101F |
|
18 |
13 |
$0.00 |
| 3017F |
|
68 |
56 |
$0.00 |
| 1126F |
|
18 |
14 |
$0.00 |
| 3079F |
|
20 |
19 |
$0.00 |