| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137,614 |
93,696 |
$6.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,459 |
34,110 |
$1.38M |
| H0006 |
Alcohol and/or drug services; case management |
20,217 |
11,417 |
$1.36M |
| 99490 |
Ccm add 20min |
36,017 |
34,560 |
$552K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,456 |
1,157 |
$452K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,957 |
3,981 |
$314K |
| 99457 |
|
15,181 |
14,536 |
$243K |
| 99439 |
|
16,726 |
16,120 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,062 |
2,783 |
$181K |
| 99426 |
|
8,168 |
7,817 |
$176K |
| 99484 |
|
8,890 |
8,376 |
$159K |
| 99493 |
|
2,336 |
2,054 |
$100K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,742 |
3,002 |
$87K |
| 94060 |
|
2,099 |
2,017 |
$62K |
| 99454 |
|
2,924 |
2,801 |
$52K |
| 99215 |
Prolong outpt/office vis |
733 |
705 |
$42K |
| 96156 |
|
1,020 |
982 |
$39K |
| 99205 |
Prolong outpt/office vis |
415 |
415 |
$34K |
| 93923 |
|
1,020 |
950 |
$33K |
| 94729 |
|
1,937 |
1,851 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,397 |
1,422 |
$26K |
| 98980 |
|
1,876 |
1,781 |
$26K |
| 94727 |
|
1,985 |
1,896 |
$25K |
| 90832 |
Psychotherapy, 30 minutes with patient |
549 |
417 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
713 |
661 |
$18K |
| 99458 |
|
1,566 |
1,500 |
$18K |
| 99492 |
|
359 |
321 |
$17K |
| 99491 |
Ccm add 20min |
572 |
541 |
$14K |
| 99487 |
Ccm add 20min |
399 |
389 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
172 |
155 |
$7K |
| 93000 |
|
548 |
528 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
83 |
$4K |
| 99453 |
|
622 |
597 |
$4K |
| 99424 |
|
138 |
127 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
78 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
195 |
$4K |
| 99307 |
|
223 |
143 |
$3K |
| 99442 |
|
378 |
307 |
$3K |
| 96132 |
|
159 |
127 |
$3K |
| 99443 |
|
197 |
176 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
73 |
61 |
$2K |
| 99305 |
|
99 |
79 |
$2K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
64 |
64 |
$1K |
| 99401 |
|
93 |
79 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
34 |
32 |
$1K |
| 92551 |
|
96 |
95 |
$1K |
| 96127 |
|
715 |
644 |
$687.01 |
| 90461 |
|
30 |
29 |
$613.86 |
| 96138 |
|
116 |
92 |
$511.91 |
| 3008F |
|
12,100 |
10,198 |
$442.94 |
| 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) |
1,834 |
1,263 |
$380.70 |
| 36415 |
Collection of venous blood by venipuncture |
338 |
316 |
$309.78 |
| 90688 |
|
72 |
62 |
$292.74 |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
40 |
$259.65 |
| 20600 |
|
33 |
26 |
$219.92 |
| 3074F |
|
5,492 |
4,768 |
$133.08 |
| 92552 |
|
25 |
25 |
$131.88 |
| 80349 |
|
163 |
123 |
$111.43 |
| 3078F |
|
4,132 |
3,568 |
$102.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
83 |
$97.21 |
| 99406 |
|
42 |
29 |
$93.48 |
| 3044F |
|
2,337 |
1,954 |
$63.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
122 |
93 |
$47.00 |
| 3079F |
|
2,074 |
1,762 |
$42.07 |
| 99070 |
|
143 |
119 |
$39.00 |
| 20610 |
|
45 |
42 |
$37.41 |
| 20550 |
|
17 |
12 |
$27.30 |
| 1159F |
|
3,074 |
2,624 |
$24.01 |
| 1160F |
|
3,014 |
2,582 |
$23.00 |
| 1125F |
|
529 |
452 |
$20.02 |
| 3075F |
|
827 |
700 |
$17.03 |
| 90863 |
|
71 |
69 |
$14.87 |
| 99000 |
|
304 |
279 |
$13.80 |
| 1170F |
|
243 |
220 |
$12.00 |
| 90785 |
|
25 |
18 |
$11.36 |
| 1126F |
|
279 |
234 |
$11.00 |
| 3077F |
|
509 |
442 |
$8.00 |
| 3080F |
|
427 |
374 |
$7.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
227 |
174 |
$3.02 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$2.90 |
| 3011F |
|
863 |
749 |
$0.00 |
| 3061F |
|
866 |
765 |
$0.00 |
| 3017F |
|
302 |
247 |
$0.00 |
| 2010F |
|
994 |
859 |
$0.00 |
| 1000F |
|
851 |
739 |
$0.00 |
| 1036F |
|
21 |
13 |
$0.00 |
| 4000F |
|
94 |
85 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
12 |
$0.00 |
| 3014F |
|
45 |
39 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 97802 |
|
35 |
32 |
$0.00 |
| 3341F |
|
69 |
57 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
14 |
$0.00 |
| 3725F |
|
737 |
646 |
$0.00 |
| 3288F |
|
400 |
356 |
$0.00 |
| 1100F |
|
17 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
584 |
457 |
$0.00 |
| 3016F |
|
86 |
78 |
$0.00 |
| 1158F |
|
48 |
41 |
$0.00 |
| 90836 |
|
16 |
12 |
$0.00 |
| 0521F |
|
17 |
16 |
$0.00 |
| 3046F |
|
15 |
13 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |