| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,566 |
24,521 |
$1.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,616 |
23,139 |
$790K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,230 |
2,144 |
$138K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,265 |
2,155 |
$118K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,307 |
7,295 |
$84K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15,376 |
14,108 |
$74K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,564 |
1,453 |
$64K |
| Q3014 |
Telehealth originating site facility fee |
3,328 |
2,954 |
$61K |
| H0049 |
Alcohol and/or drug screening |
7,527 |
7,207 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,245 |
1,803 |
$37K |
| 99385 |
|
597 |
572 |
$36K |
| 93000 |
|
5,660 |
5,174 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,194 |
4,851 |
$31K |
| 0513F |
|
7,042 |
6,099 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
675 |
$29K |
| G9012 |
Other specified case management service not elsewhere classified |
39 |
39 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
10,059 |
9,465 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
222 |
$18K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
2,167 |
1,976 |
$15K |
| 99496 |
|
124 |
114 |
$13K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
124 |
118 |
$11K |
| 3085F |
|
1,408 |
1,320 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
222 |
197 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
243 |
233 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,892 |
2,709 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
111 |
$5K |
| 81025 |
|
1,363 |
1,242 |
$4K |
| 99386 |
|
28 |
27 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$3K |
| 99401 |
|
519 |
468 |
$3K |
| 3008F |
|
23,667 |
21,035 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$2K |
| 98927 |
|
49 |
38 |
$2K |
| 93976 |
|
13 |
13 |
$2K |
| 99406 |
|
849 |
753 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
98 |
$2K |
| 81000 |
|
2,000 |
1,798 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
929 |
710 |
$1K |
| 2015F |
|
371 |
348 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
242 |
232 |
$967.26 |
| 99173 |
|
10,791 |
10,142 |
$873.71 |
| 90473 |
|
58 |
55 |
$592.52 |
| 81002 |
|
1,038 |
986 |
$586.82 |
| 3044F |
|
185 |
164 |
$550.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,408 |
3,027 |
$541.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,274 |
5,355 |
$534.93 |
| 99000 |
|
11,278 |
10,509 |
$450.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
63 |
50 |
$391.75 |
| 99407 |
|
79 |
51 |
$267.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
12 |
$180.29 |
| 99442 |
|
42 |
36 |
$146.67 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
561 |
488 |
$122.29 |
| 99441 |
|
26 |
26 |
$107.44 |
| 90672 |
|
73 |
70 |
$88.88 |
| A4550 |
Surgical trays |
80 |
68 |
$84.14 |
| 96160 |
|
44 |
44 |
$75.75 |
| 90686 |
|
12 |
12 |
$66.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$59.52 |
| 3077F |
|
1,155 |
1,027 |
$50.01 |
| 3075F |
|
345 |
325 |
$50.00 |
| 99050 |
|
16 |
15 |
$45.24 |
| 76770 |
|
13 |
13 |
$44.40 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
15 |
13 |
$37.20 |
| 3079F |
|
1,034 |
941 |
$30.00 |
| 1111F |
|
3,145 |
2,728 |
$23.44 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
647 |
632 |
$6.44 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
64 |
60 |
$1.61 |
| 1160F |
|
2,260 |
2,021 |
$0.01 |
| 0556F |
|
6,108 |
5,705 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,982 |
1,811 |
$0.00 |
| 4004F |
|
2,174 |
1,933 |
$0.00 |
| 3725F |
|
6,779 |
6,413 |
$0.00 |
| 3078F |
|
811 |
752 |
$0.00 |
| 97803 |
|
378 |
334 |
$0.00 |
| 1159F |
|
453 |
429 |
$0.00 |
| 3015F |
|
116 |
108 |
$0.00 |
| 1033F |
|
1,329 |
1,265 |
$0.00 |
| 4035F |
|
184 |
166 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
342 |
325 |
$0.00 |
| 3050F |
|
58 |
52 |
$0.00 |
| 4013F |
|
198 |
187 |
$0.00 |
| 4001F |
|
67 |
50 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
46 |
43 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
18 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,195 |
3,966 |
$0.00 |
| 3011F |
|
6,447 |
6,122 |
$0.00 |
| 1125F |
|
2,864 |
2,558 |
$0.00 |
| 3049F |
|
303 |
287 |
$0.00 |
| 1110F |
|
328 |
297 |
$0.00 |
| 4010F |
|
326 |
271 |
$0.00 |
| 3080F |
|
804 |
710 |
$0.00 |
| 1126F |
|
2,555 |
2,280 |
$0.00 |
| 3074F |
|
1,029 |
968 |
$0.00 |
| 3048F |
|
312 |
298 |
$0.00 |
| 3066F |
|
32 |
27 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
659 |
623 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 97802 |
|
33 |
29 |
$0.00 |
| 4037F |
|
58 |
50 |
$0.00 |
| 1220F |
|
107 |
101 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
16 |
$0.00 |
| 3017F |
|
15 |
14 |
$0.00 |
| 1170F |
|
54 |
41 |
$0.00 |