| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,907 |
9,900 |
$429K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,330 |
6,944 |
$196K |
| 99199 |
Unlisted special service, procedure or report |
32,024 |
20,735 |
$147K |
| 99490 |
Ccm add 20min |
11,787 |
10,023 |
$120K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,365 |
990 |
$74K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
6,564 |
4,712 |
$63K |
| 99215 |
Prolong outpt/office vis |
974 |
611 |
$39K |
| 80061 |
Lipid panel |
7,814 |
5,597 |
$38K |
| 93880 |
|
893 |
624 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,748 |
4,856 |
$33K |
| 99454 |
|
1,530 |
1,079 |
$29K |
| 80053 |
Comprehensive metabolic panel |
9,410 |
6,863 |
$26K |
| 99457 |
|
1,560 |
1,083 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,789 |
5,501 |
$25K |
| 82607 |
|
5,513 |
3,942 |
$24K |
| 84439 |
|
6,802 |
4,820 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,192 |
5,848 |
$19K |
| 99439 |
|
1,348 |
1,076 |
$15K |
| 99458 |
|
806 |
543 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
15,507 |
11,147 |
$11K |
| 93923 |
|
437 |
236 |
$11K |
| 99497 |
|
1,554 |
1,162 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
180 |
106 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
329 |
169 |
$7K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
73 |
25 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,195 |
833 |
$6K |
| 90739 |
|
312 |
196 |
$6K |
| 90682 |
|
297 |
245 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,398 |
2,379 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
445 |
201 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
92 |
48 |
$3K |
| 77080 |
|
273 |
195 |
$3K |
| 94060 |
|
246 |
156 |
$3K |
| 93000 |
|
573 |
407 |
$3K |
| 93925 |
|
26 |
25 |
$2K |
| 82746 |
|
537 |
423 |
$2K |
| 95923 |
|
155 |
91 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
92 |
48 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
167 |
84 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
62 |
$2K |
| 82728 |
|
887 |
586 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
368 |
343 |
$2K |
| 94729 |
|
244 |
154 |
$2K |
| 95921 |
|
128 |
93 |
$1K |
| 99305 |
|
26 |
24 |
$1K |
| 94727 |
|
244 |
154 |
$1K |
| 83550 |
|
874 |
573 |
$1K |
| 99408 |
|
165 |
102 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
96 |
$986.20 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
46 |
33 |
$909.78 |
| 83540 |
|
878 |
574 |
$816.21 |
| J2785 |
Injection, regadenoson, 0.1 mg |
45 |
32 |
$732.15 |
| 99406 |
|
400 |
282 |
$703.36 |
| 85046 |
|
895 |
584 |
$671.99 |
| 82043 |
|
464 |
294 |
$609.12 |
| 71271 |
|
18 |
12 |
$572.90 |
| 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) |
321 |
206 |
$541.82 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
29 |
$525.48 |
| 82570 |
|
436 |
282 |
$516.02 |
| 99325 |
|
19 |
18 |
$514.54 |
| 93015 |
|
61 |
29 |
$509.14 |
| 99233 |
Prolong inpt eval add15 m |
16 |
13 |
$503.15 |
| 96127 |
|
166 |
103 |
$450.38 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
14 |
$435.78 |
| 81001 |
|
292 |
211 |
$419.56 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
12 |
$410.48 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
46 |
33 |
$410.04 |
| 90662 |
|
322 |
276 |
$393.92 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
28 |
$389.04 |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
36 |
$368.68 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$260.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,390 |
1,035 |
$240.30 |
| 80050 |
General health panel |
26 |
12 |
$170.77 |
| 81025 |
|
30 |
25 |
$163.80 |
| 3044F |
|
2,349 |
1,581 |
$161.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,375 |
3,689 |
$155.74 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
215 |
174 |
$152.64 |
| 99397 |
|
55 |
37 |
$131.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
64 |
57 |
$125.84 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
12 |
$116.00 |
| 83735 |
|
17 |
15 |
$107.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$68.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
14 |
$44.90 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
790 |
535 |
$34.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
155 |
91 |
$29.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
12 |
$27.85 |
| G0008 |
Administration of influenza virus vaccine |
658 |
574 |
$17.74 |
| J7050 |
Infusion, normal saline solution, 250 cc |
308 |
130 |
$6.90 |
| 84550 |
|
13 |
12 |
$5.57 |
| 3079F |
|
3,847 |
2,592 |
$1.42 |
| 3075F |
|
3,097 |
2,081 |
$1.22 |
| 3074F |
|
6,606 |
4,309 |
$0.46 |
| 3078F |
|
6,965 |
4,493 |
$0.32 |
| 3077F |
|
693 |
466 |
$0.06 |
| 1160F |
|
4,458 |
2,678 |
$0.01 |
| 3080F |
|
21 |
15 |
$0.01 |
| 1159F |
|
4,458 |
2,673 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,119 |
738 |
$0.00 |
| 3062F |
|
71 |
47 |
$0.00 |
| 3288F |
|
15 |
12 |
$0.00 |
| 87999 |
|
37 |
18 |
$0.00 |
| 3061F |
|
22 |
15 |
$0.00 |
| 3008F |
|
2,539 |
1,575 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,072 |
706 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
33 |
27 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
216 |
123 |
$0.00 |
| 1170F |
|
18 |
12 |
$0.00 |