| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136,317 |
81,821 |
$12.47M |
| 99407 |
|
43,055 |
26,105 |
$999K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
8,216 |
7,375 |
$747K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,082 |
6,287 |
$668K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14,611 |
9,823 |
$644K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,102 |
8,490 |
$641K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,095 |
10,294 |
$632K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,100 |
4,510 |
$617K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,789 |
6,285 |
$495K |
| 90791 |
Psychiatric diagnostic evaluation |
3,698 |
3,428 |
$380K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,420 |
2,275 |
$371K |
| 99215 |
Prolong outpt/office vis |
1,980 |
1,721 |
$244K |
| 80305 |
|
19,439 |
14,130 |
$205K |
| 99401 |
|
7,637 |
3,867 |
$184K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,994 |
1,332 |
$146K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,674 |
3,495 |
$140K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,225 |
1,706 |
$124K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,759 |
3,547 |
$111K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,282 |
1,651 |
$83K |
| 4004F |
|
5,748 |
4,423 |
$67K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
225 |
197 |
$47K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
924 |
676 |
$45K |
| 99397 |
|
684 |
520 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,185 |
1,718 |
$41K |
| 99457 |
|
2,405 |
1,732 |
$36K |
| 0513F |
|
2,277 |
1,927 |
$34K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
2,201 |
2,106 |
$34K |
| 99458 |
|
1,723 |
1,230 |
$33K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,198 |
975 |
$32K |
| 3085F |
|
2,034 |
1,744 |
$31K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
573 |
447 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,049 |
1,691 |
$24K |
| 99454 |
|
1,152 |
816 |
$24K |
| 90756 |
|
925 |
851 |
$23K |
| 95911 |
|
142 |
118 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,107 |
1,004 |
$15K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
445 |
378 |
$15K |
| 95913 |
|
80 |
59 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,087 |
1,016 |
$11K |
| 90674 |
|
646 |
616 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,748 |
3,530 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
83 |
$8K |
| 96132 |
|
246 |
207 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
187 |
$5K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
44 |
$4K |
| 99453 |
|
447 |
314 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
185 |
142 |
$4K |
| 99497 |
|
309 |
255 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,923 |
1,583 |
$3K |
| 99406 |
|
210 |
197 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,010 |
2,463 |
$3K |
| 90732 |
|
21 |
21 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
45 |
40 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
28 |
26 |
$2K |
| 96138 |
|
241 |
204 |
$2K |
| 3044F |
|
159 |
134 |
$2K |
| 92250 |
|
139 |
133 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
46 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
433 |
368 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
148 |
122 |
$841.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
568 |
449 |
$830.95 |
| 2014F |
|
63 |
55 |
$600.00 |
| 99490 |
Ccm add 20min |
4,361 |
4,167 |
$512.31 |
| 99316 |
|
13 |
13 |
$485.44 |
| 3046F |
|
26 |
25 |
$320.00 |
| 3011F |
|
264 |
218 |
$220.00 |
| 87486 |
|
28 |
25 |
$180.47 |
| 87625 |
|
49 |
35 |
$162.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
14 |
$153.06 |
| 87581 |
|
15 |
13 |
$105.49 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
12 |
$98.56 |
| 94010 |
|
20 |
18 |
$51.60 |
| 96127 |
|
117 |
86 |
$42.10 |
| 99439 |
|
2,705 |
2,588 |
$26.94 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
12 |
12 |
$20.52 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$15.28 |
| 81001 |
|
108 |
94 |
$12.68 |
| 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) |
340 |
231 |
$11.53 |
| 3078F |
|
434 |
409 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
58 |
55 |
$0.00 |
| 3074F |
|
608 |
570 |
$0.00 |
| 99484 |
|
244 |
235 |
$0.00 |
| 3079F |
|
546 |
516 |
$0.00 |
| 3075F |
|
368 |
353 |
$0.00 |
| 2023F |
|
107 |
105 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
124 |
108 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
63 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 87807 |
|
75 |
41 |
$0.00 |