| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
106,084 |
42,273 |
$2.40M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
129,804 |
53,689 |
$1.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,714 |
11,267 |
$592K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,800 |
2,595 |
$419K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,071 |
7,951 |
$312K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,868 |
3,500 |
$311K |
| 99306 |
Prolong nursin fac eval 15m |
3,553 |
3,173 |
$248K |
| 88313 |
|
1,565 |
1,491 |
$117K |
| 88312 |
|
1,464 |
1,406 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
715 |
626 |
$62K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,359 |
1,432 |
$35K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
318 |
253 |
$23K |
| 99307 |
|
2,696 |
1,610 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
329 |
294 |
$15K |
| 99316 |
|
433 |
370 |
$12K |
| 99318 |
|
415 |
367 |
$9K |
| 99215 |
Prolong outpt/office vis |
418 |
319 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
86 |
$5K |
| 99336 |
|
577 |
335 |
$5K |
| 80076 |
|
579 |
527 |
$4K |
| 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 |
402 |
381 |
$4K |
| 99497 |
|
353 |
260 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
1,317 |
356 |
$2K |
| 99335 |
|
109 |
59 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
86 |
47 |
$2K |
| 90674 |
|
96 |
87 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
28 |
26 |
$1K |
| 99254 |
|
15 |
13 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
115 |
64 |
$1K |
| 85027 |
|
186 |
163 |
$980.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$820.96 |
| 99315 |
|
107 |
83 |
$783.48 |
| 93000 |
|
102 |
87 |
$634.63 |
| 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 |
58 |
51 |
$572.48 |
| 96415 |
|
27 |
25 |
$554.30 |
| 99349 |
|
35 |
25 |
$534.58 |
| 80053 |
Comprehensive metabolic panel |
55 |
52 |
$495.47 |
| 46600 |
|
12 |
12 |
$451.98 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
55 |
50 |
$379.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
25 |
$369.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
48 |
$298.53 |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
41 |
$187.74 |
| 80061 |
Lipid panel |
15 |
14 |
$166.27 |
| 96127 |
|
18 |
12 |
$143.86 |
| J7050 |
Infusion, normal saline solution, 250 cc |
286 |
234 |
$117.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$101.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$74.30 |
| 99221 |
|
12 |
12 |
$53.47 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
24 |
12 |
$9.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |