| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,868 |
14,879 |
$870K |
| 99199 |
Unlisted special service, procedure or report |
11,935 |
7,445 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,837 |
1,364 |
$59K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
947 |
728 |
$59K |
| 72131 |
|
248 |
190 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,128 |
1,424 |
$12K |
| 72100 |
|
566 |
466 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,716 |
4,407 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
963 |
791 |
$4K |
| 90756 |
|
536 |
412 |
$3K |
| 94375 |
|
316 |
282 |
$3K |
| 80053 |
Comprehensive metabolic panel |
238 |
233 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
246 |
241 |
$2K |
| 80061 |
Lipid panel |
119 |
119 |
$2K |
| 71250 |
|
17 |
14 |
$2K |
| 90688 |
|
552 |
390 |
$2K |
| 81002 |
|
3,924 |
2,976 |
$2K |
| 99442 |
|
42 |
20 |
$1K |
| 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) |
504 |
427 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
111 |
111 |
$1K |
| 82044 |
|
1,557 |
1,140 |
$1K |
| 82962 |
|
1,767 |
1,347 |
$1K |
| 90732 |
|
40 |
30 |
$881.08 |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
53 |
$807.31 |
| 99406 |
|
69 |
54 |
$336.77 |
| 99490 |
Ccm add 20min |
39 |
24 |
$242.99 |
| 90661 |
|
38 |
33 |
$228.55 |
| 93000 |
|
20 |
15 |
$181.64 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
304 |
261 |
$166.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
353 |
280 |
$131.75 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
275 |
244 |
$51.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
427 |
357 |
$43.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
119 |
88 |
$18.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$13.28 |
| 3060F |
|
321 |
255 |
$0.00 |
| 3074F |
|
1,304 |
1,134 |
$0.00 |
| 3079F |
|
205 |
192 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
127 |
126 |
$0.00 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
12 |
12 |
$0.00 |
| 1125F |
|
346 |
307 |
$0.00 |
| 3044F |
|
251 |
211 |
$0.00 |
| 3008F |
|
1,636 |
1,432 |
$0.00 |
| 3075F |
|
85 |
78 |
$0.00 |
| 1170F |
|
134 |
118 |
$0.00 |
| 3078F |
|
1,443 |
1,268 |
$0.00 |
| 3077F |
|
99 |
96 |
$0.00 |
| 1159F |
|
128 |
118 |
$0.00 |
| 80364 |
|
18 |
18 |
$0.00 |