| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,923 |
28,220 |
$529K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,607 |
6,756 |
$181K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25,667 |
10,871 |
$88K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19,071 |
7,308 |
$66K |
| 99307 |
|
4,207 |
2,510 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
594 |
570 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
156 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
124 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
91 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
98 |
$9K |
| 90461 |
|
198 |
188 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
84 |
53 |
$3K |
| 99215 |
Prolong outpt/office vis |
373 |
284 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
569 |
134 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
973 |
450 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
281 |
167 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
76 |
65 |
$2K |
| 99349 |
|
655 |
193 |
$2K |
| 87428 |
|
50 |
46 |
$2K |
| 99336 |
|
381 |
208 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
21 |
17 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
250 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
72 |
66 |
$946.64 |
| 36415 |
Collection of venous blood by venipuncture |
3,801 |
3,311 |
$893.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,319 |
872 |
$827.11 |
| 99318 |
|
310 |
198 |
$737.38 |
| 52000 |
|
91 |
76 |
$473.43 |
| 99490 |
Ccm add 20min |
1,368 |
998 |
$467.76 |
| 90686 |
|
98 |
89 |
$411.24 |
| 93000 |
|
404 |
278 |
$322.83 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,973 |
1,470 |
$283.61 |
| 87807 |
|
12 |
12 |
$186.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,762 |
1,543 |
$181.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
124 |
$177.97 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$176.13 |
| 71046 |
Radiologic examination, chest; 2 views |
133 |
118 |
$175.59 |
| 0011A |
|
191 |
169 |
$172.79 |
| 51798 |
|
673 |
543 |
$164.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,595 |
2,291 |
$132.74 |
| 99358 |
Prolong nursin fac eval 15m |
129 |
45 |
$131.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$129.32 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
27 |
16 |
$124.74 |
| 0012A |
|
177 |
162 |
$120.75 |
| 90474 |
|
13 |
13 |
$120.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$109.51 |
| 80061 |
Lipid panel |
2,370 |
2,109 |
$104.90 |
| 80053 |
Comprehensive metabolic panel |
2,798 |
2,489 |
$98.07 |
| 81003 |
|
1,292 |
1,044 |
$90.51 |
| 80305 |
|
19 |
12 |
$90.30 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,705 |
1,498 |
$74.73 |
| 77080 |
|
188 |
151 |
$65.67 |
| 96127 |
|
302 |
176 |
$55.56 |
| J2785 |
Injection, regadenoson, 0.1 mg |
20 |
14 |
$49.59 |
| 1159F |
|
10,196 |
7,907 |
$48.57 |
| 99348 |
|
217 |
39 |
$45.66 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
557 |
62 |
$45.19 |
| 0031A |
|
49 |
44 |
$40.00 |
| 82962 |
|
38 |
27 |
$10.98 |
| 93015 |
|
28 |
16 |
$8.29 |
| 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) |
1,258 |
920 |
$8.04 |
| 94060 |
|
99 |
88 |
$7.78 |
| 94729 |
|
99 |
88 |
$6.76 |
| 82570 |
|
125 |
116 |
$2.18 |
| 81001 |
|
234 |
202 |
$2.12 |
| 82043 |
|
111 |
103 |
$1.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
50 |
40 |
$0.72 |
| 3008F |
|
22,280 |
16,511 |
$0.00 |
| 1036F |
|
29,336 |
19,290 |
$0.00 |
| 1034F |
|
549 |
409 |
$0.00 |
| 1126F |
|
9,348 |
5,797 |
$0.00 |
| 3074F |
|
12,506 |
10,198 |
$0.00 |
| 1125F |
|
5,647 |
4,106 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
654 |
469 |
$0.00 |
| 3079F |
|
2,868 |
2,274 |
$0.00 |
| 1101F |
|
1,991 |
1,090 |
$0.00 |
| 1170F |
|
3,196 |
1,630 |
$0.00 |
| 3044F |
|
617 |
574 |
$0.00 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
16 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
468 |
413 |
$0.00 |
| 3075F |
|
1,007 |
910 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
115 |
94 |
$0.00 |
| 3080F |
|
36 |
25 |
$0.00 |
| 95012 |
|
60 |
44 |
$0.00 |
| 83735 |
|
17 |
14 |
$0.00 |
| 90723 |
|
41 |
40 |
$0.00 |
| 82607 |
|
58 |
51 |
$0.00 |
| 94618 |
|
94 |
84 |
$0.00 |
| 90680 |
|
40 |
39 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$0.00 |
| 99305 |
|
14 |
13 |
$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)). |
18 |
13 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$0.00 |
| 99441 |
|
16 |
15 |
$0.00 |
| 99316 |
|
19 |
12 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
24 |
18 |
$0.00 |
| 99496 |
|
13 |
12 |
$0.00 |
| 92551 |
|
17 |
16 |
$0.00 |
| 1160F |
|
11,415 |
8,962 |
$0.00 |
| 1090F |
|
1,916 |
1,410 |
$0.00 |
| 3078F |
|
9,973 |
7,727 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,723 |
1,275 |
$0.00 |
| 3725F |
|
4,154 |
2,879 |
$0.00 |
| 84439 |
|
553 |
479 |
$0.00 |
| 94726 |
|
99 |
88 |
$0.00 |
| 3288F |
|
665 |
522 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
283 |
90 |
$0.00 |
| 3077F |
|
338 |
237 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
49 |
$0.00 |
| 99497 |
|
29 |
24 |
$0.00 |
| 1158F |
|
128 |
108 |
$0.00 |
| 95251 |
|
54 |
40 |
$0.00 |
| 99499 |
|
16 |
14 |
$0.00 |
| 99347 |
|
90 |
12 |
$0.00 |
| 90662 |
|
244 |
171 |
$0.00 |
| 99334 |
|
24 |
12 |
$0.00 |
| 93880 |
|
17 |
14 |
$0.00 |
| 90670 |
|
30 |
29 |
$0.00 |
| 90671 |
|
19 |
19 |
$0.00 |
| 1100F |
|
21 |
14 |
$0.00 |