| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,926 |
10,800 |
$951K |
| 99215 |
Prolong outpt/office vis |
3,760 |
2,628 |
$448K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,315 |
5,267 |
$212K |
| 99358 |
Prolong nursin fac eval 15m |
2,772 |
2,268 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,903 |
1,629 |
$53K |
| 99407 |
|
2,646 |
1,845 |
$49K |
| G3003 |
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) |
760 |
666 |
$36K |
| 99484 |
|
5,375 |
3,906 |
$29K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
235 |
182 |
$21K |
| 76942 |
|
273 |
199 |
$10K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
314 |
278 |
$7K |
| 99487 |
Ccm add 20min |
606 |
523 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
79 |
$6K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
735 |
655 |
$5K |
| 99205 |
Prolong outpt/office vis |
49 |
44 |
$4K |
| 95816 |
|
23 |
17 |
$3K |
| 99354 |
|
21 |
19 |
$3K |
| 95957 |
|
23 |
17 |
$3K |
| 96127 |
|
1,208 |
977 |
$3K |
| 99439 |
|
80 |
79 |
$2K |
| 80305 |
|
323 |
276 |
$2K |
| 95930 |
|
21 |
17 |
$855.84 |
| 76882 |
|
50 |
29 |
$823.83 |
| 99406 |
|
122 |
59 |
$751.23 |
| 92653 |
|
21 |
15 |
$746.30 |
| 99490 |
Ccm add 20min |
295 |
255 |
$693.76 |
| 99491 |
Ccm add 20min |
12 |
12 |
$671.81 |
| 96132 |
|
21 |
16 |
$334.89 |
| 99408 |
|
44 |
32 |
$300.00 |
| 92650 |
|
20 |
16 |
$260.48 |
| 93040 |
|
21 |
17 |
$125.52 |
| 96139 |
|
18 |
16 |
$101.82 |
| 96138 |
|
18 |
16 |
$101.82 |
| H0049 |
Alcohol and/or drug screening |
218 |
191 |
$83.30 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$31.07 |