| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,880 |
12,927 |
$508K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,304 |
1,939 |
$100K |
| 87428 |
|
1,306 |
636 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
220 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,050 |
917 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
577 |
542 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,271 |
1,017 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
84 |
$6K |
| 87430 |
|
824 |
455 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
119 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
25 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
132 |
53 |
$2K |
| 90670 |
|
218 |
207 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$942.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
74 |
$857.61 |
| 99173 |
|
209 |
198 |
$838.00 |
| 92551 |
|
199 |
195 |
$797.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
25 |
$781.20 |
| 0011A |
|
30 |
25 |
$616.00 |
| 0012A |
|
22 |
20 |
$576.00 |
| 90698 |
|
74 |
71 |
$560.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
173 |
144 |
$483.44 |
| 99347 |
|
58 |
29 |
$437.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$420.00 |
| 87420 |
|
129 |
50 |
$406.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
69 |
58 |
$375.96 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
98 |
93 |
$313.63 |
| 90710 |
|
40 |
37 |
$280.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$234.84 |
| 90686 |
|
29 |
29 |
$232.00 |
| 90651 |
|
28 |
26 |
$208.00 |
| 90680 |
|
27 |
26 |
$208.00 |
| 90744 |
|
27 |
25 |
$192.00 |
| 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 |
27 |
26 |
$146.13 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
18 |
12 |
$139.06 |
| 90623 |
|
16 |
15 |
$120.00 |
| 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 |
13 |
13 |
$104.90 |
| 90734 |
|
12 |
12 |
$96.00 |
| 90620 |
|
12 |
12 |
$96.00 |
| 90633 |
|
15 |
12 |
$88.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
48 |
46 |
$52.33 |
| 81003 |
|
26 |
24 |
$39.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
36 |
$13.77 |
| 3078F |
|
1,807 |
1,446 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,668 |
1,436 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
363 |
339 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
317 |
253 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
759 |
697 |
$0.00 |
| 3077F |
|
79 |
66 |
$0.00 |
| 4004F |
|
15 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
61 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,248 |
1,142 |
$0.00 |
| 1036F |
|
460 |
414 |
$0.00 |
| 3074F |
|
2,041 |
1,632 |
$0.00 |
| 3079F |
|
211 |
183 |
$0.00 |
| 3044F |
|
90 |
85 |
$0.00 |
| 3075F |
|
41 |
37 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
264 |
233 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |