| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,902 |
17,948 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,202 |
12,844 |
$978K |
| G9002 |
Coordinated care fee, maintenance rate |
3,383 |
3,114 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
722 |
718 |
$56K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,010 |
754 |
$48K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,619 |
521 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
397 |
394 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
405 |
399 |
$35K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,736 |
566 |
$31K |
| 80305 |
|
4,294 |
3,001 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
349 |
349 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,423 |
2,384 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
286 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
178 |
$16K |
| G9007 |
Coordinated care fee, scheduled team conference |
1,069 |
1,037 |
$16K |
| 87428 |
|
540 |
530 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
442 |
$14K |
| 96127 |
|
3,178 |
3,045 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
383 |
357 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,671 |
1,401 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
127 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,097 |
1,086 |
$7K |
| 99051 |
|
573 |
546 |
$7K |
| 81003 |
|
3,404 |
3,286 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
474 |
467 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
50 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
213 |
$3K |
| 0012A |
|
54 |
54 |
$2K |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$2K |
| 90682 |
|
34 |
34 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
78 |
26 |
$2K |
| 81025 |
|
221 |
214 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
167 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
80 |
$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) |
447 |
355 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 98966 |
|
159 |
134 |
$1K |
| 99406 |
|
148 |
125 |
$1K |
| 0011A |
|
43 |
43 |
$926.75 |
| 94010 |
|
54 |
52 |
$923.26 |
| 97535 |
Self-care/home management training, each 15 minutes |
48 |
41 |
$814.29 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$813.05 |
| 0064A |
|
20 |
20 |
$757.00 |
| 92551 |
|
103 |
99 |
$665.72 |
| 97161 |
|
13 |
13 |
$612.95 |
| 87807 |
|
43 |
43 |
$444.51 |
| 90686 |
|
28 |
27 |
$425.26 |
| 96160 |
|
12 |
12 |
$405.34 |
| 93000 |
|
52 |
52 |
$383.20 |
| 98926 |
|
14 |
14 |
$363.30 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
61 |
61 |
$347.08 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$281.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$233.38 |
| 99441 |
|
12 |
12 |
$90.67 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$67.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
12 |
$24.53 |
| 99173 |
|
1,515 |
1,505 |
$2.64 |
| 4037F |
|
26 |
26 |
$0.01 |
| 1032F |
|
2,701 |
2,208 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,702 |
7,176 |
$0.00 |
| 4004F |
|
123 |
105 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,075 |
3,508 |
$0.00 |
| 1036F |
|
6,325 |
5,275 |
$0.00 |
| 4000F |
|
3,320 |
2,682 |
$0.00 |
| 1000F |
|
3,333 |
2,691 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
27 |
26 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
56 |
46 |
$0.00 |