| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,776 |
38,169 |
$4.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,426 |
13,372 |
$980K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,782 |
8,115 |
$777K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,712 |
5,146 |
$697K |
| 99215 |
Prolong outpt/office vis |
4,511 |
3,888 |
$532K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,551 |
1,806 |
$476K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,770 |
1,165 |
$310K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,126 |
2,927 |
$309K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,067 |
1,918 |
$212K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,705 |
2,355 |
$190K |
| T1016 |
Case management, each 15 minutes |
3,678 |
1,922 |
$175K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,671 |
1,465 |
$90K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
511 |
468 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,211 |
1,312 |
$71K |
| 90791 |
Psychiatric diagnostic evaluation |
378 |
333 |
$43K |
| H2014 |
Skills training and development, per 15 minutes |
1,151 |
659 |
$37K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
387 |
378 |
$35K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
351 |
201 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,652 |
1,513 |
$24K |
| 99496 |
|
143 |
122 |
$23K |
| 98943 |
|
984 |
587 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,807 |
1,691 |
$18K |
| 99205 |
Prolong outpt/office vis |
116 |
93 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
103 |
76 |
$11K |
| 96127 |
|
3,130 |
2,786 |
$11K |
| H0032 |
Mental health service plan development by non-physician |
106 |
91 |
$9K |
| 90686 |
|
488 |
441 |
$9K |
| 81002 |
|
3,242 |
2,988 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
127 |
110 |
$5K |
| 90656 |
|
261 |
254 |
$5K |
| 99495 |
|
32 |
29 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
219 |
186 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
182 |
152 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,283 |
1,947 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
157 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
25 |
$2K |
| H2011 |
Crisis intervention service, per 15 minutes |
26 |
25 |
$2K |
| 0013A |
|
68 |
57 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$2K |
| D0191 |
|
142 |
132 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
97 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
20 |
$1K |
| 93000 |
|
106 |
89 |
$1K |
| 81025 |
|
224 |
207 |
$1K |
| 0003A |
|
39 |
33 |
$1K |
| 99406 |
|
122 |
101 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
20 |
12 |
$817.43 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
22 |
12 |
$711.71 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$469.84 |
| 96160 |
|
109 |
101 |
$334.59 |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
12 |
12 |
$288.72 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
24 |
24 |
$264.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
51 |
$261.22 |
| 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) |
47 |
46 |
$225.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
12 |
$8.89 |
| 1034F |
|
1,074 |
1,041 |
$0.00 |
| 1036F |
|
2,389 |
2,300 |
$0.00 |
| 1220F |
|
4,185 |
4,041 |
$0.00 |
| 3074F |
|
971 |
927 |
$0.00 |
| 3017F |
|
914 |
883 |
$0.00 |
| 3014F |
|
346 |
340 |
$0.00 |
| 3061F |
|
66 |
62 |
$0.00 |
| 3079F |
|
645 |
605 |
$0.00 |
| 3075F |
|
192 |
182 |
$0.00 |
| 1000F |
|
4,119 |
3,976 |
$0.00 |
| 3008F |
|
1,415 |
1,318 |
$0.00 |
| 1111F |
|
2,090 |
1,863 |
$0.00 |
| 3048F |
|
118 |
108 |
$0.00 |
| 3044F |
|
221 |
194 |
$0.00 |
| 3080F |
|
162 |
153 |
$0.00 |
| 3060F |
|
15 |
12 |
$0.00 |
| 2023F |
|
43 |
40 |
$0.00 |
| 1125F |
|
20 |
12 |
$0.00 |
| 1160F |
|
7,377 |
6,908 |
$0.00 |
| 2028F |
|
203 |
190 |
$0.00 |
| 3015F |
|
550 |
543 |
$0.00 |
| 3016F |
|
3,797 |
3,665 |
$0.00 |
| 1159F |
|
669 |
609 |
$0.00 |
| 3078F |
|
745 |
712 |
$0.00 |
| 3077F |
|
391 |
372 |
$0.00 |
| 3046F |
|
198 |
178 |
$0.00 |