| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,492 |
5,955 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,423 |
3,039 |
$131K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
243 |
226 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
592 |
200 |
$14K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
1,015 |
24 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
634 |
59 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
904 |
419 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
288 |
145 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
387 |
239 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
482 |
397 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
378 |
134 |
$8K |
| A9270 |
Non-covered item or service |
212 |
26 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
546 |
219 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,456 |
2,985 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
133 |
$6K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
238 |
237 |
$6K |
| 85004 |
|
960 |
808 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
54 |
45 |
$5K |
| 99215 |
Prolong outpt/office vis |
129 |
123 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
126 |
124 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
312 |
205 |
$4K |
| A0425 |
Ground mileage, per statute mile |
89 |
84 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,437 |
1,330 |
$4K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
411 |
247 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
737 |
639 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
83 |
52 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
422 |
273 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
258 |
208 |
$3K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
14 |
14 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
43 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
120 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
70 |
$3K |
| 87400 |
|
181 |
60 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
53 |
17 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
119 |
65 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
57 |
55 |
$2K |
| 85048 |
|
958 |
809 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
78 |
72 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
215 |
89 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
99 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
169 |
139 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
112 |
32 |
$2K |
| W0037 |
|
524 |
524 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
36 |
30 |
$2K |
| 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) |
310 |
270 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
164 |
$2K |
| 93922 |
|
67 |
25 |
$1K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13 |
13 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
57 |
52 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
41 |
41 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
247 |
86 |
$972.01 |
| 83721 |
|
344 |
339 |
$813.63 |
| 84443 |
Thyroid stimulating hormone (TSH) |
71 |
64 |
$699.20 |
| 92134 |
|
36 |
34 |
$697.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
25 |
25 |
$678.55 |
| E0601 |
Continuous positive airway pressure (cpap) device |
58 |
58 |
$650.36 |
| 98940 |
|
125 |
92 |
$623.53 |
| Q3014 |
Telehealth originating site facility fee |
35 |
25 |
$564.28 |
| 36416 |
|
291 |
219 |
$504.64 |
| 11721 |
|
49 |
47 |
$469.99 |
| 71045 |
Radiologic examination, chest; single view |
207 |
166 |
$464.57 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
28 |
$444.43 |
| E1392 |
Portable oxygen concentrator, rental |
56 |
56 |
$431.20 |
| 85027 |
|
118 |
94 |
$415.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
24 |
$385.38 |
| 99442 |
|
33 |
33 |
$382.59 |
| 80076 |
|
156 |
155 |
$373.69 |
| 93971 |
|
45 |
12 |
$347.42 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
20 |
20 |
$314.93 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12 |
12 |
$270.39 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
46 |
31 |
$254.84 |
| 70450 |
Computed tomography, head or brain; without contrast material |
33 |
31 |
$252.88 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
26 |
$249.23 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
51 |
50 |
$237.72 |
| 99307 |
|
18 |
18 |
$228.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
16 |
$210.48 |
| 82550 |
|
119 |
119 |
$204.95 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
35 |
35 |
$196.28 |
| 73030 |
|
12 |
12 |
$190.23 |
| 83735 |
|
98 |
98 |
$159.92 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
15 |
15 |
$149.61 |
| 90688 |
|
48 |
48 |
$149.52 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
59 |
59 |
$143.60 |
| 80061 |
Lipid panel |
40 |
40 |
$132.00 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16 |
16 |
$122.22 |
| E0570 |
Nebulizer, with compressor |
44 |
44 |
$90.19 |
| A7035 |
Headgear used with positive airway pressure device |
15 |
15 |
$78.63 |
| K0001 |
Standard wheelchair |
12 |
12 |
$72.24 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21 |
21 |
$69.22 |
| 81003 |
|
48 |
42 |
$57.53 |
| 99152 |
|
17 |
17 |
$41.67 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$34.68 |
| 74018 |
|
15 |
12 |
$33.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$31.26 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$25.31 |
| 3017F |
|
282 |
234 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,136 |
930 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,643 |
1,344 |
$0.00 |
| 1036F |
|
1,688 |
1,381 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 99000 |
|
53 |
47 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
14 |
$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) |
16 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
771 |
650 |
$0.00 |
| 4040F |
|
1,075 |
883 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
84 |
53 |
$0.00 |
| 92015 |
Determination of refractive state |
36 |
36 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
443 |
371 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
44 |
38 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
49 |
40 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
40 |
38 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
12 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
13 |
12 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
13 |
13 |
$0.00 |
| 4004F |
|
18 |
15 |
$0.00 |