| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67,893 |
60,962 |
$2.66M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,661 |
69,717 |
$2.43M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,320 |
15,566 |
$395K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,608 |
3,374 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,005 |
2,797 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,680 |
2,522 |
$175K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,092 |
1,999 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,379 |
1,984 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,628 |
1,541 |
$116K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,729 |
2,568 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,829 |
7,555 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,593 |
1,473 |
$74K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,755 |
1,702 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
890 |
826 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,067 |
977 |
$61K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,997 |
841 |
$53K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
423 |
390 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,796 |
2,442 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,483 |
3,117 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,445 |
2,928 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
464 |
388 |
$25K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
467 |
437 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,224 |
1,181 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
584 |
515 |
$17K |
| 73630 |
|
884 |
800 |
$15K |
| 99490 |
Ccm add 20min |
2,952 |
2,739 |
$13K |
| 99497 |
|
4,072 |
3,979 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
180 |
130 |
$9K |
| 99215 |
Prolong outpt/office vis |
136 |
121 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
228 |
171 |
$7K |
| 87210 |
|
3,066 |
2,295 |
$5K |
| 0240U |
|
80 |
55 |
$5K |
| 99442 |
|
434 |
315 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
790 |
674 |
$5K |
| 99220 |
|
123 |
110 |
$5K |
| 20550 |
|
148 |
129 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
114 |
112 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,291 |
1,181 |
$2K |
| 99219 |
|
62 |
60 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
110 |
58 |
$2K |
| 99441 |
|
329 |
240 |
$2K |
| 76830 |
Ultrasound, transvaginal |
91 |
80 |
$2K |
| 92551 |
|
249 |
239 |
$2K |
| 0012A |
|
99 |
90 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
41 |
$2K |
| 58100 |
|
32 |
29 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
28 |
26 |
$2K |
| 99221 |
|
42 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
186 |
175 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
45 |
28 |
$1K |
| 76642 |
|
56 |
53 |
$1K |
| 99406 |
|
472 |
412 |
$1K |
| 96161 |
|
506 |
345 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
166 |
159 |
$1K |
| 99225 |
|
72 |
45 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,323 |
873 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
14 |
$1K |
| 0011A |
|
119 |
93 |
$1K |
| 57454 |
|
17 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
362 |
252 |
$884.74 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$855.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,331 |
2,313 |
$843.26 |
| 99385 |
|
14 |
13 |
$736.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
117 |
109 |
$678.35 |
| 94729 |
|
61 |
56 |
$663.13 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
13 |
$616.46 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,223 |
1,195 |
$574.55 |
| 93356 |
|
45 |
45 |
$565.96 |
| 90688 |
|
38 |
36 |
$548.17 |
| 94727 |
|
61 |
56 |
$535.19 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$533.36 |
| 71045 |
Radiologic examination, chest; single view |
88 |
70 |
$465.65 |
| 94060 |
|
40 |
38 |
$459.78 |
| 90682 |
|
18 |
12 |
$458.47 |
| 0001A |
|
19 |
17 |
$432.88 |
| 99173 |
|
328 |
284 |
$392.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,053 |
1,969 |
$264.66 |
| 99188 |
|
15 |
12 |
$264.55 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16,166 |
11,519 |
$213.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,136 |
973 |
$188.33 |
| 96127 |
|
459 |
389 |
$179.64 |
| 94010 |
|
27 |
24 |
$174.88 |
| G0008 |
Administration of influenza virus vaccine |
428 |
427 |
$108.50 |
| 90686 |
|
3,140 |
2,760 |
$53.17 |
| 1159F |
|
59,162 |
53,377 |
$0.24 |
| 3078F |
|
41,641 |
37,953 |
$0.00 |
| 3077F |
|
9,375 |
8,427 |
$0.00 |
| 1160F |
|
48,422 |
43,824 |
$0.00 |
| 2022F |
|
545 |
505 |
$0.00 |
| 3288F |
|
4,070 |
3,738 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
250 |
180 |
$0.00 |
| 90670 |
|
410 |
360 |
$0.00 |
| 90633 |
|
96 |
84 |
$0.00 |
| 3045F |
|
196 |
184 |
$0.00 |
| 3046F |
|
370 |
343 |
$0.00 |
| 90685 |
|
61 |
54 |
$0.00 |
| 3051F |
|
28 |
26 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
788 |
247 |
$0.00 |
| 98960 |
|
793 |
247 |
$0.00 |
| 3725F |
|
736 |
688 |
$0.00 |
| 1158F |
|
49 |
47 |
$0.00 |
| G9510 |
Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 |
16 |
13 |
$0.00 |
| 90734 |
|
52 |
51 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| 91300 |
|
23 |
18 |
$0.00 |
| 1100F |
|
26 |
24 |
$0.00 |
| 3074F |
|
40,830 |
36,836 |
$0.00 |
| 3079F |
|
17,850 |
16,105 |
$0.00 |
| 3044F |
|
13,916 |
12,750 |
$0.00 |
| 3008F |
|
106,690 |
94,593 |
$0.00 |
| 3066F |
|
5,383 |
4,973 |
$0.00 |
| 3080F |
|
2,706 |
2,359 |
$0.00 |
| 3061F |
|
1,252 |
1,151 |
$0.00 |
| 1034F |
|
2,812 |
2,370 |
$0.00 |
| 4010F |
|
16,270 |
14,947 |
$0.00 |
| 1125F |
|
227 |
209 |
$0.00 |
| 1101F |
|
4,282 |
3,960 |
$0.00 |
| 3075F |
|
10,651 |
9,724 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,075 |
1,413 |
$0.00 |
| 1126F |
|
1,303 |
1,232 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
787 |
749 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
2,201 |
1,836 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
427 |
317 |
$0.00 |
| 90651 |
|
43 |
37 |
$0.00 |
| 1111F |
|
48 |
40 |
$0.00 |
| 3072F |
|
279 |
251 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
17 |
$0.00 |
| 90723 |
|
31 |
29 |
$0.00 |
| 90698 |
|
179 |
158 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
14 |
13 |
$0.00 |
| 91301 |
|
130 |
88 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
24 |
12 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |