| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,467 |
39,952 |
$952K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,065 |
5,051 |
$367K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,065 |
12,453 |
$287K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35,654 |
34,454 |
$252K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18,807 |
18,408 |
$247K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,766 |
2,725 |
$212K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
819 |
817 |
$121K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25,738 |
24,845 |
$105K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
984 |
979 |
$83K |
| 73630 |
|
3,200 |
2,046 |
$80K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
287 |
284 |
$67K |
| 95886 |
|
432 |
353 |
$67K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
553 |
551 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
877 |
875 |
$56K |
| 76770 |
|
603 |
600 |
$52K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
267 |
267 |
$49K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,349 |
474 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,269 |
3,161 |
$34K |
| H0001 |
Alcohol and/or drug assessment |
32,814 |
31,722 |
$33K |
| 20550 |
|
1,029 |
650 |
$33K |
| 97802 |
|
25,029 |
24,166 |
$32K |
| 99397 |
|
4,224 |
4,139 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,643 |
2,632 |
$27K |
| 51728 |
|
84 |
83 |
$26K |
| 99401 |
|
6,521 |
6,319 |
$26K |
| 95912 |
|
118 |
118 |
$25K |
| 93923 |
|
273 |
272 |
$23K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
960 |
330 |
$22K |
| 93975 |
|
88 |
86 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27,923 |
26,945 |
$21K |
| 3074F |
|
22,880 |
22,112 |
$19K |
| 93922 |
|
325 |
325 |
$18K |
| 3079F |
|
17,106 |
16,608 |
$17K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
3,650 |
3,534 |
$16K |
| 90674 |
|
1,639 |
1,636 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
313 |
313 |
$11K |
| 97035 |
|
1,232 |
452 |
$10K |
| 99442 |
|
354 |
348 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
52 |
52 |
$8K |
| 76882 |
|
229 |
180 |
$8K |
| G0127 |
Trimming of dystrophic nails, any number |
729 |
720 |
$8K |
| 90658 |
|
1,111 |
1,107 |
$7K |
| 93000 |
|
790 |
773 |
$7K |
| 99386 |
|
312 |
311 |
$7K |
| 99443 |
|
161 |
160 |
$7K |
| 52204 |
|
25 |
25 |
$6K |
| 97014 |
|
464 |
167 |
$6K |
| 52000 |
|
24 |
24 |
$5K |
| 11721 |
|
198 |
197 |
$5K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
25,859 |
24,972 |
$4K |
| 97161 |
|
60 |
60 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
259 |
89 |
$4K |
| 0012A |
|
112 |
112 |
$4K |
| 0011A |
|
110 |
110 |
$4K |
| 95913 |
|
12 |
12 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32,819 |
31,724 |
$3K |
| 3078F |
|
7,504 |
7,283 |
$3K |
| 86328 |
|
484 |
474 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$3K |
| 11720 |
|
138 |
138 |
$3K |
| 99243 |
|
24 |
24 |
$3K |
| 0064A |
|
94 |
94 |
$2K |
| 1159F |
|
22,516 |
21,756 |
$2K |
| 51784 |
|
72 |
71 |
$2K |
| 99385 |
|
137 |
137 |
$2K |
| 1160F |
|
22,615 |
21,852 |
$2K |
| 3077F |
|
806 |
785 |
$2K |
| 76872 |
|
15 |
15 |
$2K |
| 99496 |
|
152 |
150 |
$1K |
| 73610 |
|
35 |
28 |
$1K |
| 3080F |
|
301 |
291 |
$949.05 |
| 11055 |
|
16 |
16 |
$892.26 |
| 93784 |
|
418 |
402 |
$752.93 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$747.86 |
| 76857 |
|
26 |
26 |
$694.05 |
| 51741 |
|
85 |
83 |
$656.98 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
388 |
379 |
$655.20 |
| 1170F |
|
1,237 |
1,231 |
$583.00 |
| 3075F |
|
810 |
792 |
$566.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
353 |
345 |
$548.81 |
| 1126F |
|
752 |
750 |
$453.00 |
| 3044F |
|
4,129 |
4,114 |
$428.32 |
| 1111F |
|
237 |
235 |
$288.00 |
| 3048F |
|
4,912 |
4,886 |
$218.00 |
| 99495 |
|
13 |
13 |
$204.71 |
| 51798 |
|
40 |
40 |
$195.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
108 |
101 |
$186.74 |
| 3050F |
|
2,646 |
2,615 |
$182.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
116 |
116 |
$145.02 |
| 3049F |
|
3,191 |
3,169 |
$142.00 |
| 3061F |
|
358 |
358 |
$64.00 |
| 4274F |
|
1,585 |
1,570 |
$51.09 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
20 |
14 |
$49.49 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
257 |
252 |
$43.72 |
| 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 |
12 |
12 |
$40.44 |
| 82270 |
|
31 |
31 |
$26.74 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
99 |
96 |
$24.84 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
25,337 |
24,507 |
$10.25 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$10.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
30,704 |
29,709 |
$10.00 |
| 1158F |
|
1,820 |
1,803 |
$8.00 |
| 3046F |
|
98 |
94 |
$8.00 |
| 3008F |
|
31,339 |
30,067 |
$2.89 |
| 91306 |
|
92 |
92 |
$0.28 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
8,127 |
8,035 |
$0.25 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
93 |
93 |
$0.19 |
| 3045F |
|
248 |
244 |
$0.07 |
| 1000F |
|
22,365 |
21,665 |
$0.01 |
| 1036F |
|
22,231 |
21,571 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
25,370 |
24,479 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
11,830 |
11,433 |
$0.00 |
| 3017F |
|
825 |
821 |
$0.00 |
| 3014F |
|
849 |
840 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
378 |
367 |
$0.00 |
| 1125F |
|
111 |
111 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
210 |
206 |
$0.00 |
| 97010 |
|
200 |
77 |
$0.00 |
| 82043 |
|
698 |
698 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
15 |
15 |
$0.00 |
| 91301 |
|
212 |
196 |
$0.00 |
| 1100F |
|
1,056 |
1,051 |
$0.00 |
| 3016F |
|
24,390 |
23,620 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
1,010 |
984 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,884 |
6,642 |
$0.00 |
| 3725F |
|
24,120 |
23,344 |
$0.00 |
| 4013F |
|
7,472 |
7,372 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
24,558 |
23,720 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
800 |
781 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
932 |
906 |
$0.00 |
| 3288F |
|
243 |
239 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
1,010 |
984 |
$0.00 |
| 2028F |
|
1,652 |
1,639 |
$0.00 |
| 0521F |
|
407 |
402 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
893 |
871 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
225 |
214 |
$0.00 |
| 3015F |
|
214 |
213 |
$0.00 |
| A4550 |
Surgical trays |
257 |
216 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
171 |
167 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
199 |
198 |
$0.00 |
| 4004F |
|
44 |
44 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
15 |
14 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
12 |
12 |
$0.00 |