| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,454 |
7,553 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,782 |
3,793 |
$155K |
| 99215 |
Prolong outpt/office vis |
2,243 |
1,931 |
$78K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
2,076 |
2,059 |
$40K |
| 93975 |
|
202 |
191 |
$26K |
| 90837 |
Psychotherapy, 53 minutes with patient |
556 |
214 |
$20K |
| 99205 |
Prolong outpt/office vis |
256 |
239 |
$20K |
| 99336 |
|
508 |
336 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
164 |
160 |
$12K |
| 99349 |
|
410 |
340 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
202 |
131 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
531 |
452 |
$6K |
| 90838 |
|
174 |
121 |
$5K |
| 93000 |
|
997 |
894 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
107 |
102 |
$5K |
| 93925 |
|
41 |
40 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
64 |
$3K |
| 99350 |
Prolong home eval add 15m |
57 |
40 |
$3K |
| 95816 |
|
18 |
18 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
329 |
323 |
$3K |
| 73562 |
|
173 |
96 |
$3K |
| 93970 |
|
35 |
32 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
192 |
86 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
191 |
86 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
192 |
86 |
$2K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
213 |
211 |
$2K |
| 72100 |
|
132 |
132 |
$2K |
| 95923 |
|
134 |
123 |
$2K |
| 72070 |
|
129 |
129 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
206 |
205 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
184 |
167 |
$2K |
| 72040 |
|
108 |
108 |
$2K |
| 93880 |
|
41 |
40 |
$2K |
| 99457 |
|
223 |
172 |
$2K |
| 93922 |
|
155 |
145 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
341 |
331 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
28 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
287 |
273 |
$1K |
| 99345 |
Prolong home eval add 15m |
44 |
43 |
$1K |
| 97032 |
|
191 |
86 |
$1K |
| 90674 |
|
87 |
83 |
$1K |
| 95957 |
|
18 |
18 |
$1K |
| 99454 |
|
165 |
159 |
$1K |
| 99354 |
|
30 |
29 |
$1K |
| 95921 |
|
171 |
159 |
$1K |
| 94729 |
|
78 |
73 |
$968.54 |
| 94060 |
|
66 |
62 |
$929.13 |
| 92652 |
|
18 |
18 |
$845.53 |
| 73501 |
|
67 |
65 |
$792.53 |
| 94727 |
|
79 |
74 |
$790.38 |
| 99458 |
|
90 |
90 |
$766.73 |
| 90836 |
|
33 |
29 |
$727.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$500.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
106 |
84 |
$455.04 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
35 |
29 |
$394.75 |
| 73560 |
|
18 |
12 |
$393.18 |
| 93040 |
|
74 |
72 |
$338.82 |
| 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.) |
64 |
53 |
$291.30 |
| 96137 |
|
18 |
18 |
$277.09 |
| 69210 |
|
36 |
31 |
$259.29 |
| 99406 |
|
243 |
223 |
$218.18 |
| 77081 |
|
56 |
46 |
$202.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
83 |
$200.00 |
| 95930 |
|
18 |
18 |
$193.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
54 |
$160.16 |
| 96136 |
|
18 |
18 |
$148.27 |
| 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.) |
63 |
52 |
$111.30 |
| 96127 |
|
99 |
90 |
$103.07 |
| 96132 |
|
18 |
18 |
$102.08 |
| 73565 |
|
15 |
15 |
$91.92 |
| 99497 |
|
77 |
77 |
$89.04 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
35 |
$54.26 |
| 93041 |
|
132 |
125 |
$51.58 |
| 81003 |
|
111 |
106 |
$38.73 |
| 90686 |
|
16 |
15 |
$23.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
78 |
48 |
$0.41 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
30 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
32 |
12 |
$0.00 |
| 90756 |
|
12 |
12 |
$0.00 |
| 90901 |
|
16 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
37 |
33 |
$0.00 |