| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,824 |
75,016 |
$4.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,386 |
38,317 |
$1.39M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,881 |
3,750 |
$320K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,266 |
779 |
$82K |
| 93000 |
|
4,941 |
4,752 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,394 |
3,150 |
$49K |
| 99215 |
Prolong outpt/office vis |
602 |
562 |
$45K |
| 90686 |
|
2,657 |
2,407 |
$33K |
| 90834 |
Psychotherapy, 45 minutes with patient |
734 |
438 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,411 |
574 |
$30K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,377 |
936 |
$27K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
2,556 |
2,294 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
443 |
$25K |
| 99245 |
|
248 |
233 |
$23K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,232 |
954 |
$23K |
| 97813 |
|
623 |
348 |
$20K |
| 98929 |
|
532 |
501 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
524 |
383 |
$16K |
| 97814 |
|
543 |
299 |
$14K |
| 0124A |
|
260 |
250 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
201 |
184 |
$10K |
| 97811 |
|
549 |
315 |
$10K |
| 99385 |
|
137 |
123 |
$10K |
| 99243 |
|
165 |
165 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
262 |
105 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
423 |
294 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
132 |
124 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
123 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
129 |
122 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
58 |
$6K |
| 97802 |
|
86 |
84 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
409 |
$5K |
| 90656 |
|
298 |
294 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
208 |
196 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
106 |
$3K |
| 90682 |
|
55 |
55 |
$3K |
| 91322 |
|
54 |
35 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
38 |
$3K |
| 99205 |
Prolong outpt/office vis |
52 |
51 |
$3K |
| 90677 |
|
12 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,063 |
928 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
42 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
408 |
373 |
$2K |
| 90480 |
|
56 |
36 |
$1K |
| 90662 |
|
47 |
36 |
$1K |
| 0054A |
|
16 |
15 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
34 |
30 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
38 |
34 |
$1K |
| 96127 |
|
304 |
214 |
$1K |
| 97803 |
|
28 |
27 |
$838.65 |
| 98940 |
|
49 |
26 |
$742.00 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
12 |
$681.26 |
| 20610 |
|
13 |
12 |
$586.91 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
120 |
113 |
$577.08 |
| 90688 |
|
41 |
39 |
$446.98 |
| 90715 |
|
13 |
13 |
$394.81 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$183.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
12 |
$127.49 |
| 96161 |
|
23 |
16 |
$61.03 |
| 90670 |
|
19 |
12 |
$42.50 |
| 90698 |
|
20 |
13 |
$42.50 |
| 1036F |
|
50,208 |
46,819 |
$24.71 |
| 91312 |
|
183 |
177 |
$1.40 |
| 91305 |
|
15 |
15 |
$0.14 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,267 |
3,107 |
$0.00 |
| 4004F |
|
488 |
450 |
$0.00 |
| 3078F |
|
95 |
93 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
49 |
49 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,388 |
4,171 |
$0.00 |
| 97014 |
|
14 |
12 |
$0.00 |
| 3079F |
|
60 |
53 |
$0.00 |
| 3074F |
|
119 |
115 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |