| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,988 |
51,572 |
$3.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,996 |
33,981 |
$2.98M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,746 |
3,738 |
$328K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
984 |
981 |
$160K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,952 |
1,949 |
$159K |
| 93880 |
|
1,069 |
1,069 |
$121K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
800 |
482 |
$115K |
| 99349 |
|
1,667 |
1,611 |
$95K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
9,860 |
9,756 |
$92K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
755 |
755 |
$64K |
| 93925 |
|
467 |
467 |
$53K |
| 93000 |
|
4,149 |
4,128 |
$52K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
3,223 |
3,215 |
$46K |
| 99222 |
Initial hospital care, per day, moderate complexity |
493 |
466 |
$39K |
| 93923 |
|
560 |
560 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
423 |
423 |
$27K |
| 99408 |
|
2,415 |
2,385 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
517 |
482 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
19,391 |
18,780 |
$20K |
| 93970 |
|
192 |
192 |
$19K |
| H0001 |
Alcohol and/or drug assessment |
1,495 |
1,488 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
201 |
53 |
$18K |
| 94760 |
|
15,193 |
13,248 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,793 |
1,539 |
$13K |
| 3074F |
|
18,540 |
16,566 |
$12K |
| 96127 |
|
3,975 |
3,929 |
$11K |
| 93308 |
|
126 |
126 |
$11K |
| 3078F |
|
16,479 |
14,778 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
770 |
760 |
$9K |
| 99385 |
|
105 |
104 |
$9K |
| 76536 |
|
110 |
110 |
$9K |
| 99407 |
|
400 |
392 |
$8K |
| 90686 |
|
481 |
481 |
$8K |
| 99000 |
|
4,265 |
4,098 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
89 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,017 |
1,016 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$4K |
| 99406 |
|
535 |
498 |
$4K |
| 99490 |
Ccm add 20min |
825 |
821 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
39 |
38 |
$3K |
| 82962 |
|
2,149 |
1,933 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
54 |
53 |
$3K |
| 3079F |
|
6,172 |
5,849 |
$3K |
| 96136 |
|
371 |
366 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
144 |
$2K |
| 96120 |
|
51 |
50 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
98 |
98 |
$2K |
| 3075F |
|
3,636 |
3,488 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
44 |
$2K |
| 3080F |
|
3,106 |
2,896 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
521 |
515 |
$2K |
| 99497 |
|
79 |
79 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
21 |
12 |
$1K |
| 3077F |
|
3,690 |
3,387 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 90756 |
|
55 |
54 |
$1K |
| 99386 |
|
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$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) |
181 |
170 |
$865.44 |
| 90656 |
|
50 |
50 |
$714.78 |
| 97802 |
|
557 |
551 |
$660.26 |
| 3044F |
|
14,188 |
11,268 |
$637.01 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
28 |
$553.86 |
| 96146 |
|
698 |
697 |
$545.24 |
| 93227 |
|
25 |
25 |
$461.28 |
| 93225 |
|
25 |
25 |
$397.50 |
| 96160 |
|
607 |
606 |
$332.73 |
| 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) |
43 |
40 |
$299.11 |
| 99173 |
|
30 |
30 |
$260.00 |
| 1159F |
|
33,792 |
26,235 |
$230.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$174.34 |
| 1160F |
|
31,993 |
24,944 |
$160.34 |
| 3046F |
|
260 |
203 |
$120.00 |
| 3051F |
|
133 |
106 |
$60.00 |
| 90687 |
|
13 |
13 |
$10.44 |
| 99499 |
|
110 |
85 |
$0.00 |
| 3052F |
|
50 |
39 |
$0.00 |
| 1126F |
|
152 |
152 |
$0.00 |
| 1170F |
|
156 |
156 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |