| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,310 |
16,030 |
$694K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,741 |
10,439 |
$335K |
| 99490 |
Ccm add 20min |
18,358 |
17,090 |
$207K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,271 |
1,214 |
$61K |
| 99215 |
Prolong outpt/office vis |
1,262 |
1,126 |
$54K |
| 93000 |
|
4,469 |
4,014 |
$42K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,091 |
1,200 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,115 |
5,792 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,283 |
720 |
$22K |
| 99401 |
|
1,998 |
1,813 |
$22K |
| 99496 |
|
471 |
341 |
$19K |
| 99497 |
|
1,048 |
863 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,249 |
1,166 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
381 |
305 |
$11K |
| 90756 |
|
572 |
510 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
218 |
208 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
50 |
47 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
405 |
364 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
340 |
92 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,893 |
2,599 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,059 |
485 |
$7K |
| 90688 |
|
506 |
499 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
502 |
280 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
517 |
261 |
$6K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
5,437 |
3,601 |
$5K |
| 90653 |
|
171 |
163 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,613 |
1,417 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
442 |
235 |
$4K |
| 94010 |
|
284 |
253 |
$4K |
| 92548 |
|
137 |
137 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
255 |
63 |
$4K |
| 90674 |
|
164 |
148 |
$4K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,889 |
438 |
$3K |
| 90694 |
|
389 |
293 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
74 |
65 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,456 |
2,121 |
$3K |
| 92250 |
|
209 |
155 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
26 |
$2K |
| 99442 |
|
467 |
408 |
$2K |
| 92546 |
|
192 |
83 |
$2K |
| 95923 |
|
151 |
112 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
689 |
591 |
$2K |
| 95943 |
|
63 |
63 |
$2K |
| 92540 |
|
112 |
83 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
534 |
486 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
81 |
73 |
$1K |
| 93922 |
|
125 |
91 |
$1K |
| 95921 |
|
139 |
100 |
$1K |
| 96103 |
|
152 |
150 |
$1K |
| 93784 |
|
28 |
28 |
$1K |
| 99406 |
|
238 |
211 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
141 |
$1K |
| 99441 |
|
131 |
118 |
$782.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
507 |
112 |
$750.39 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
75 |
49 |
$698.04 |
| 3078F |
|
12,401 |
8,589 |
$642.14 |
| 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) |
1,524 |
846 |
$617.75 |
| 3074F |
|
10,222 |
7,360 |
$576.07 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
491 |
419 |
$572.28 |
| 36000 |
|
345 |
224 |
$549.32 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
67 |
49 |
$499.24 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,280 |
375 |
$484.62 |
| 93040 |
|
67 |
67 |
$449.20 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$395.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
72 |
$376.07 |
| 97803 |
|
1,962 |
1,573 |
$349.81 |
| 3079F |
|
3,524 |
2,900 |
$317.03 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
287 |
100 |
$298.36 |
| 99454 |
|
577 |
513 |
$288.27 |
| 90661 |
|
12 |
12 |
$260.00 |
| 3077F |
|
1,928 |
1,498 |
$231.04 |
| 3075F |
|
4,228 |
3,317 |
$225.04 |
| 82962 |
|
616 |
426 |
$185.76 |
| 92547 |
|
111 |
82 |
$144.03 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
18 |
17 |
$111.44 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
116 |
37 |
$88.27 |
| 96127 |
|
39 |
37 |
$73.64 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15,886 |
9,779 |
$44.68 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
45 |
34 |
$39.86 |
| 97802 |
|
139 |
139 |
$38.80 |
| 3080F |
|
381 |
328 |
$36.00 |
| 82270 |
|
19 |
17 |
$25.78 |
| 99072 |
|
320 |
254 |
$17.50 |
| 99453 |
|
91 |
69 |
$17.44 |
| 83014 |
|
12 |
12 |
$9.44 |
| 81002 |
|
17 |
16 |
$8.81 |
| 94761 |
|
18 |
13 |
$8.00 |
| 1111F |
|
715 |
408 |
$7.00 |
| 1170F |
|
109 |
87 |
$4.00 |
| 3044F |
|
460 |
410 |
$3.00 |
| 3045F |
|
17 |
13 |
$2.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,064 |
4,025 |
$1.20 |
| 3051F |
|
75 |
57 |
$1.00 |
| 1125F |
|
12 |
12 |
$1.00 |
| G8482 |
Influenza immunization administered or previously received |
76 |
76 |
$0.00 |
| 4013F |
|
158 |
133 |
$0.00 |
| 3288F |
|
100 |
70 |
$0.00 |
| 3050F |
|
50 |
43 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 4010F |
|
155 |
124 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
137 |
115 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
475 |
325 |
$0.00 |
| 3048F |
|
210 |
185 |
$0.00 |
| 3049F |
|
186 |
165 |
$0.00 |
| 99457 |
|
233 |
188 |
$0.00 |
| 99458 |
|
32 |
13 |
$0.00 |
| 3017F |
|
54 |
52 |
$0.00 |
| 1126F |
|
44 |
33 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |