| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,024 |
17,677 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,286 |
9,688 |
$410K |
| 99215 |
Prolong outpt/office vis |
1,595 |
1,451 |
$104K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
572 |
551 |
$38K |
| 99051 |
|
1,217 |
1,128 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
236 |
187 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
267 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
119 |
113 |
$9K |
| 90674 |
|
310 |
271 |
$8K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
118 |
55 |
$8K |
| 97161 |
|
151 |
115 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
457 |
375 |
$6K |
| 99490 |
Ccm add 20min |
1,072 |
954 |
$6K |
| 0011A |
|
103 |
102 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
82 |
$5K |
| 93922 |
|
95 |
72 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
58 |
54 |
$4K |
| 99454 |
|
76 |
75 |
$4K |
| 97803 |
|
137 |
114 |
$3K |
| 99354 |
|
78 |
64 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
183 |
61 |
$3K |
| 0012A |
|
72 |
72 |
$3K |
| 99406 |
|
386 |
349 |
$3K |
| 99385 |
|
38 |
36 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
265 |
181 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
225 |
84 |
$2K |
| 90756 |
|
164 |
141 |
$2K |
| 99497 |
|
151 |
128 |
$2K |
| 99457 |
|
52 |
49 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
252 |
107 |
$2K |
| 11721 |
|
81 |
77 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
56 |
56 |
$2K |
| 90661 |
|
59 |
53 |
$2K |
| 99386 |
|
17 |
17 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
218 |
198 |
$1K |
| 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 |
139 |
130 |
$1K |
| 97032 |
|
267 |
104 |
$1K |
| 99442 |
|
66 |
63 |
$1K |
| 81002 |
|
535 |
494 |
$1K |
| 97034 |
|
270 |
92 |
$1K |
| 20610 |
|
33 |
27 |
$978.32 |
| 99487 |
Ccm add 20min |
152 |
132 |
$797.23 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
86 |
45 |
$700.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
136 |
109 |
$694.37 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
15 |
$666.94 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
22 |
14 |
$654.72 |
| 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) |
180 |
155 |
$526.38 |
| 0124A |
|
14 |
14 |
$492.10 |
| 99443 |
|
18 |
18 |
$400.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
13 |
$311.48 |
| 90694 |
|
12 |
12 |
$291.74 |
| 97035 |
|
28 |
13 |
$236.80 |
| 96127 |
|
62 |
60 |
$228.10 |
| 93000 |
|
15 |
14 |
$170.22 |
| G0008 |
Administration of influenza virus vaccine |
52 |
49 |
$47.25 |
| 82570 |
|
14 |
13 |
$33.89 |
| 82044 |
|
14 |
13 |
$29.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
14 |
$27.63 |
| 99072 |
|
31 |
29 |
$9.00 |
| 91301 |
|
69 |
66 |
$0.67 |
| 91312 |
|
14 |
14 |
$0.09 |
| 3079F |
|
2,683 |
2,433 |
$0.06 |
| 3078F |
|
4,093 |
3,646 |
$0.05 |
| 3074F |
|
4,534 |
4,048 |
$0.04 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
5,157 |
4,566 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,202 |
1,775 |
$0.00 |
| 3077F |
|
1,034 |
938 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,329 |
1,938 |
$0.00 |
| 1160F |
|
2,886 |
2,480 |
$0.00 |
| 1159F |
|
791 |
686 |
$0.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
194 |
173 |
$0.00 |
| 4004F |
|
450 |
374 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
531 |
455 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
23 |
12 |
$0.00 |
| 99374 |
|
45 |
44 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
102 |
90 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
23 |
12 |
$0.00 |
| 3080F |
|
361 |
323 |
$0.00 |
| 1036F |
|
5,060 |
4,332 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,762 |
2,254 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
427 |
361 |
$0.00 |
| 3075F |
|
1,441 |
1,292 |
$0.00 |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
4,091 |
3,640 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
253 |
218 |
$0.00 |
| 1111F |
|
57 |
49 |
$0.00 |
| 3044F |
|
30 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$0.00 |