| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,637 |
21,077 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,643 |
29,735 |
$961K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14,657 |
13,306 |
$552K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
4,450 |
3,923 |
$341K |
| 62323 |
|
601 |
514 |
$71K |
| 80354 |
|
6,376 |
6,060 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
957 |
881 |
$60K |
| 80369 |
|
5,498 |
5,225 |
$56K |
| 80362 |
|
2,977 |
2,849 |
$55K |
| 80361 |
|
2,980 |
2,831 |
$53K |
| 80373 |
|
3,657 |
3,504 |
$38K |
| 93923 |
|
422 |
200 |
$36K |
| 80356 |
|
3,266 |
3,084 |
$32K |
| 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 |
700 |
626 |
$31K |
| 80355 |
|
2,977 |
2,849 |
$31K |
| 80365 |
|
2,980 |
2,831 |
$29K |
| 64493 |
|
438 |
360 |
$29K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
299 |
290 |
$24K |
| 64635 |
|
132 |
104 |
$15K |
| 64494 |
|
447 |
350 |
$14K |
| 95924 |
|
205 |
195 |
$13K |
| 80346 |
|
591 |
573 |
$13K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,193 |
1,856 |
$10K |
| 95923 |
|
201 |
190 |
$8K |
| 80372 |
|
760 |
729 |
$8K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
740 |
644 |
$6K |
| 64636 |
|
132 |
104 |
$6K |
| 99215 |
Prolong outpt/office vis |
75 |
72 |
$5K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
56 |
55 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
585 |
519 |
$2K |
| A4595 |
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
72 |
65 |
$1K |
| 64490 |
|
16 |
14 |
$1K |
| 80348 |
|
72 |
72 |
$773.97 |
| 99490 |
Ccm add 20min |
480 |
427 |
$763.62 |
| 64491 |
|
16 |
14 |
$535.09 |
| 99452 |
|
285 |
269 |
$507.49 |
| 99441 |
|
59 |
56 |
$380.68 |
| 80324 |
|
30 |
30 |
$331.02 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
60 |
57 |
$327.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
19 |
$243.53 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
66 |
54 |
$199.50 |
| 80360 |
|
16 |
14 |
$139.52 |
| 80335 |
|
16 |
14 |
$139.52 |
| 80359 |
|
16 |
14 |
$139.52 |
| 80367 |
|
16 |
14 |
$139.52 |
| 80368 |
|
16 |
14 |
$139.52 |