| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,884 |
37,109 |
$1.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,952 |
29,735 |
$1.01M |
| 99490 |
Ccm add 20min |
19,350 |
18,297 |
$403K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
10,041 |
9,522 |
$202K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,375 |
3,776 |
$193K |
| 80061 |
Lipid panel |
15,922 |
15,165 |
$160K |
| 80053 |
Comprehensive metabolic panel |
19,490 |
18,481 |
$156K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,973 |
8,518 |
$111K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,698 |
6,154 |
$99K |
| 85027 |
|
18,034 |
17,080 |
$89K |
| 82607 |
|
8,013 |
7,623 |
$83K |
| 82746 |
|
5,189 |
4,929 |
$56K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,759 |
7,347 |
$55K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,168 |
704 |
$52K |
| 90674 |
|
2,337 |
2,245 |
$47K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,206 |
990 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
15,325 |
14,410 |
$43K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,663 |
588 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,357 |
2,220 |
$36K |
| 84436 |
|
6,385 |
6,054 |
$34K |
| 99401 |
|
916 |
839 |
$22K |
| 84466 |
|
2,257 |
2,108 |
$19K |
| 83735 |
|
4,049 |
3,890 |
$19K |
| 99215 |
Prolong outpt/office vis |
339 |
315 |
$17K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
398 |
358 |
$17K |
| 99406 |
|
2,506 |
2,276 |
$13K |
| 99487 |
Ccm add 20min |
396 |
372 |
$13K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
110 |
102 |
$13K |
| 97032 |
|
1,926 |
633 |
$12K |
| 82962 |
|
7,957 |
6,983 |
$11K |
| 82728 |
|
1,310 |
1,239 |
$11K |
| 82550 |
|
2,717 |
2,591 |
$11K |
| 99439 |
|
535 |
507 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
170 |
$10K |
| 83540 |
|
2,053 |
1,923 |
$10K |
| 82043 |
|
1,767 |
1,707 |
$7K |
| 97164 |
|
311 |
283 |
$7K |
| 86140 |
|
1,845 |
1,769 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
78 |
$6K |
| 99407 |
|
195 |
176 |
$5K |
| 99254 |
|
55 |
52 |
$5K |
| 90756 |
|
291 |
286 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,240 |
2,476 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
85 |
81 |
$4K |
| 99443 |
|
81 |
66 |
$4K |
| 83090 |
|
313 |
308 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
145 |
88 |
$3K |
| 82570 |
|
1,093 |
1,049 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
42 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
52 |
41 |
$3K |
| 84100 |
|
1,007 |
977 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
29 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
210 |
204 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
158 |
$2K |
| 84550 |
|
872 |
847 |
$2K |
| 90661 |
|
245 |
199 |
$2K |
| 99385 |
|
40 |
37 |
$2K |
| 99442 |
|
66 |
46 |
$2K |
| 98968 |
|
101 |
92 |
$2K |
| 97161 |
|
31 |
28 |
$1K |
| 83550 |
|
1,167 |
1,070 |
$1K |
| 81002 |
|
445 |
407 |
$946.48 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
114 |
102 |
$589.72 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
13 |
$521.44 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
70 |
63 |
$475.93 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
119 |
115 |
$388.78 |
| 84156 |
|
128 |
126 |
$351.58 |
| 90714 |
|
14 |
13 |
$283.90 |
| 90694 |
|
29 |
26 |
$282.41 |
| 90686 |
|
18 |
16 |
$259.61 |
| 99489 |
Ccm add 20min |
15 |
13 |
$258.32 |
| 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) |
822 |
752 |
$218.59 |
| 90658 |
|
14 |
14 |
$196.45 |
| 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)). |
13 |
12 |
$139.86 |
| 99497 |
|
74 |
70 |
$138.77 |
| 90653 |
|
12 |
12 |
$85.99 |
| 81025 |
|
14 |
12 |
$66.73 |
| 81000 |
|
28 |
25 |
$34.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
15 |
$25.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$21.92 |
| 3044F |
|
88 |
83 |
$20.27 |
| 1160F |
|
2,938 |
2,695 |
$8.95 |
| 1159F |
|
2,943 |
2,696 |
$8.93 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
31 |
27 |
$5.74 |
| 1125F |
|
471 |
430 |
$1.61 |
| 3078F |
|
446 |
422 |
$1.29 |
| 3074F |
|
316 |
301 |
$0.86 |
| 3048F |
|
214 |
200 |
$0.55 |
| 3075F |
|
39 |
32 |
$0.14 |
| 3049F |
|
35 |
33 |
$0.07 |
| 3050F |
|
16 |
15 |
$0.03 |
| 3079F |
|
12 |
12 |
$0.02 |
| G0008 |
Administration of influenza virus vaccine |
332 |
319 |
$0.00 |
| 97010 |
|
28 |
14 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
45 |
$0.00 |
| 3008F |
|
30 |
29 |
$0.00 |
| 3061F |
|
29 |
26 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
74 |
71 |
$0.00 |
| 2014F |
|
20 |
19 |
$0.00 |