| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,043 |
52,869 |
$3.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,751 |
19,571 |
$928K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,603 |
1,550 |
$147K |
| 95923 |
|
1,416 |
1,378 |
$117K |
| 95943 |
|
810 |
793 |
$88K |
| 93922 |
|
1,473 |
1,428 |
$77K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
518 |
96 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
632 |
609 |
$61K |
| 95144 |
|
494 |
78 |
$61K |
| 99454 |
|
2,010 |
1,966 |
$56K |
| 99441 |
|
1,287 |
1,211 |
$47K |
| 99457 |
|
1,826 |
1,791 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
474 |
455 |
$40K |
| 95921 |
|
617 |
597 |
$37K |
| 93000 |
|
3,819 |
3,486 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,105 |
2,652 |
$33K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
199 |
187 |
$33K |
| 20553 |
|
912 |
721 |
$27K |
| 94760 |
|
40,431 |
30,842 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,440 |
1,867 |
$22K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
224 |
173 |
$21K |
| 82962 |
|
16,887 |
13,440 |
$20K |
| 76942 |
|
921 |
743 |
$15K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
164 |
138 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
211 |
205 |
$13K |
| 87428 |
|
490 |
403 |
$12K |
| 99490 |
Ccm add 20min |
1,835 |
1,740 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
397 |
360 |
$12K |
| 87799 |
|
233 |
181 |
$10K |
| 96160 |
|
3,615 |
3,461 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,004 |
754 |
$5K |
| 0011A |
|
138 |
129 |
$5K |
| 87492 |
|
204 |
160 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
217 |
$5K |
| 0012A |
|
111 |
101 |
$4K |
| 87592 |
|
204 |
160 |
$4K |
| 87512 |
|
204 |
160 |
$4K |
| 87652 |
|
204 |
160 |
$4K |
| 87641 |
|
226 |
176 |
$4K |
| 99458 |
|
368 |
350 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
118 |
$4K |
| 99442 |
|
380 |
340 |
$4K |
| 87640 |
|
219 |
169 |
$4K |
| 92250 |
|
116 |
111 |
$4K |
| 87500 |
|
204 |
160 |
$3K |
| 81002 |
|
1,641 |
1,469 |
$3K |
| 87653 |
|
197 |
153 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
199 |
151 |
$3K |
| 87481 |
|
193 |
148 |
$3K |
| 0013A |
|
61 |
58 |
$3K |
| 90662 |
|
268 |
233 |
$3K |
| 99453 |
|
256 |
253 |
$3K |
| 99397 |
|
55 |
53 |
$3K |
| 90686 |
|
237 |
221 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
289 |
207 |
$2K |
| 99439 |
|
244 |
236 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,525 |
1,282 |
$2K |
| 90682 |
|
63 |
56 |
$2K |
| 99215 |
Prolong outpt/office vis |
60 |
43 |
$2K |
| 99497 |
|
363 |
212 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 81025 |
|
208 |
181 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
475 |
336 |
$998.26 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
44 |
13 |
$884.22 |
| 99173 |
|
455 |
417 |
$875.92 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,000 |
679 |
$874.33 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
32 |
28 |
$842.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
584 |
536 |
$829.83 |
| 99402 |
|
15 |
14 |
$763.87 |
| 99000 |
|
1,409 |
1,099 |
$763.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
44 |
$586.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
40 |
$420.35 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
15 |
13 |
$400.50 |
| 94664 |
|
34 |
29 |
$354.30 |
| 97032 |
|
43 |
13 |
$348.11 |
| 92551 |
|
52 |
49 |
$329.77 |
| 92228 |
|
12 |
12 |
$311.77 |
| 97016 |
|
43 |
13 |
$279.63 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
172 |
125 |
$265.99 |
| G0008 |
Administration of influenza virus vaccine |
200 |
171 |
$141.24 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
69 |
46 |
$108.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$105.63 |
| 99406 |
|
53 |
31 |
$76.40 |
| 94761 |
|
161 |
98 |
$59.70 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
199 |
111 |
$54.86 |
| 99487 |
Ccm add 20min |
54 |
54 |
$47.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
68 |
43 |
$38.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
189 |
180 |
$37.99 |
| 36416 |
|
846 |
646 |
$20.68 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
68 |
28 |
$13.89 |
| 1160F |
|
14,395 |
10,930 |
$3.66 |
| 1159F |
|
17,760 |
13,440 |
$3.64 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
39 |
27 |
$1.78 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,147 |
1,511 |
$0.96 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,802 |
1,289 |
$0.81 |
| 1125F |
|
663 |
515 |
$0.09 |
| 3008F |
|
1,376 |
1,000 |
$0.07 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,150 |
3,848 |
$0.03 |
| 3078F |
|
2,161 |
1,507 |
$0.03 |
| 1123F |
|
1,988 |
1,311 |
$0.01 |
| 91301 |
|
44 |
42 |
$0.01 |
| 3074F |
|
1,640 |
1,121 |
$0.00 |
| 3079F |
|
156 |
103 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,310 |
817 |
$0.00 |
| 1170F |
|
482 |
303 |
$0.00 |
| 1036F |
|
2,415 |
1,562 |
$0.00 |
| 1000F |
|
147 |
116 |
$0.00 |
| 3075F |
|
63 |
45 |
$0.00 |
| 3044F |
|
71 |
30 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
34 |
32 |
$0.00 |
| 96127 |
|
20 |
13 |
$0.00 |
| 3061F |
|
35 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,237 |
822 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
803 |
476 |
$0.00 |
| 3725F |
|
184 |
149 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
987 |
607 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
70 |
61 |
$0.00 |
| 3016F |
|
142 |
124 |
$0.00 |
| 99499 |
|
687 |
610 |
$0.00 |
| 3077F |
|
213 |
143 |
$0.00 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
16 |
15 |
$0.00 |
| 0521F |
|
30 |
26 |
$0.00 |