| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86,659 |
73,005 |
$3.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,544 |
54,283 |
$1.81M |
| 99215 |
Prolong outpt/office vis |
5,842 |
5,102 |
$295K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,247 |
1,076 |
$140K |
| 80305 |
|
9,720 |
7,372 |
$90K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,766 |
3,518 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
970 |
929 |
$58K |
| 90686 |
|
5,323 |
4,975 |
$54K |
| 99490 |
Ccm add 20min |
5,796 |
4,959 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
882 |
793 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,213 |
2,018 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
833 |
757 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
677 |
641 |
$41K |
| 94060 |
|
1,605 |
1,401 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
2,898 |
2,606 |
$37K |
| 97162 |
|
1,207 |
522 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
562 |
514 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,240 |
1,127 |
$29K |
| 94729 |
|
1,532 |
1,331 |
$27K |
| 94726 |
|
1,353 |
1,170 |
$26K |
| 93000 |
|
2,389 |
2,065 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,348 |
1,246 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,372 |
622 |
$20K |
| 59025 |
Fetal non-stress test |
426 |
192 |
$19K |
| 99000 |
|
6,914 |
6,178 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
503 |
453 |
$17K |
| 99306 |
Prolong nursin fac eval 15m |
461 |
422 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,194 |
2,879 |
$17K |
| 99442 |
|
972 |
761 |
$15K |
| 99397 |
|
960 |
661 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
359 |
334 |
$13K |
| 99173 |
|
683 |
662 |
$12K |
| 94200 |
|
1,357 |
1,173 |
$11K |
| 81025 |
|
1,218 |
1,072 |
$10K |
| 92551 |
|
741 |
719 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,327 |
636 |
$8K |
| 94681 |
|
633 |
538 |
$8K |
| 11721 |
|
1,152 |
1,058 |
$8K |
| 36416 |
|
5,590 |
5,057 |
$8K |
| 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) |
2,550 |
2,061 |
$7K |
| 0001A |
|
267 |
253 |
$6K |
| 0002A |
|
188 |
187 |
$6K |
| 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 |
678 |
620 |
$6K |
| 72100 |
|
220 |
203 |
$6K |
| 99441 |
|
619 |
536 |
$6K |
| 99336 |
|
277 |
202 |
$6K |
| 99337 |
|
88 |
74 |
$5K |
| 97163 |
|
147 |
124 |
$5K |
| 85018 |
|
1,840 |
1,746 |
$5K |
| 97124 |
|
1,099 |
775 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
53 |
$4K |
| 90674 |
|
168 |
156 |
$3K |
| 92546 |
|
70 |
31 |
$3K |
| 11056 |
|
617 |
580 |
$3K |
| 81003 |
|
1,654 |
1,517 |
$3K |
| 90662 |
|
667 |
581 |
$3K |
| 94010 |
|
101 |
85 |
$3K |
| 90656 |
|
249 |
241 |
$3K |
| 99354 |
|
49 |
46 |
$2K |
| 80061 |
Lipid panel |
228 |
222 |
$2K |
| 99348 |
|
62 |
53 |
$2K |
| 81002 |
|
911 |
761 |
$2K |
| 95806 |
|
24 |
24 |
$2K |
| 99497 |
|
370 |
337 |
$2K |
| 90670 |
|
193 |
155 |
$2K |
| 96127 |
|
633 |
603 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
231 |
131 |
$2K |
| 99070 |
|
344 |
291 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
138 |
80 |
$2K |
| 83655 |
|
126 |
109 |
$2K |
| 76775 |
|
53 |
46 |
$2K |
| 82947 |
|
780 |
709 |
$2K |
| 97032 |
|
214 |
95 |
$2K |
| 97022 |
|
575 |
541 |
$2K |
| 0012A |
|
34 |
34 |
$1K |
| 90651 |
|
191 |
182 |
$1K |
| 87428 |
|
21 |
18 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 94727 |
|
173 |
157 |
$1K |
| 92540 |
|
43 |
31 |
$1K |
| 0011A |
|
31 |
30 |
$1K |
| 99443 |
|
83 |
42 |
$1K |
| 3008F |
|
1,797 |
1,520 |
$998.60 |
| 93880 |
|
12 |
12 |
$828.58 |
| 99401 |
|
75 |
66 |
$799.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$703.55 |
| 82962 |
|
477 |
419 |
$698.77 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
19 |
$694.59 |
| 90688 |
|
75 |
74 |
$674.05 |
| 93224 |
|
14 |
12 |
$644.39 |
| 73560 |
|
33 |
25 |
$607.79 |
| 99316 |
|
13 |
13 |
$487.82 |
| 90734 |
|
86 |
83 |
$476.16 |
| 90715 |
|
61 |
53 |
$448.63 |
| 87210 |
|
77 |
24 |
$415.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,678 |
2,317 |
$403.12 |
| 0124A |
|
12 |
12 |
$393.05 |
| 90619 |
|
27 |
26 |
$367.03 |
| 96103 |
|
15 |
12 |
$358.07 |
| 92547 |
|
43 |
31 |
$298.60 |
| 72040 |
|
12 |
12 |
$291.15 |
| 90633 |
|
64 |
63 |
$274.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
89 |
$266.90 |
| 94375 |
|
107 |
95 |
$247.06 |
| 36415 |
Collection of venous blood by venipuncture |
2,141 |
1,820 |
$245.70 |
| 92250 |
|
31 |
24 |
$202.24 |
| 83986 |
|
39 |
24 |
$164.99 |
| 99188 |
|
12 |
12 |
$161.61 |
| 90680 |
|
31 |
13 |
$154.94 |
| 90710 |
|
38 |
38 |
$127.67 |
| 90698 |
|
13 |
13 |
$126.42 |
| 99406 |
|
450 |
406 |
$98.07 |
| 86580 |
|
29 |
28 |
$91.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
852 |
703 |
$75.00 |
| 90685 |
|
16 |
14 |
$45.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,070 |
1,002 |
$34.55 |
| 90682 |
|
222 |
189 |
$20.71 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
24 |
$4.22 |
| G8993 |
Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals |
452 |
434 |
$1.00 |
| G8994 |
Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
451 |
434 |
$1.00 |
| 3079F |
|
539 |
458 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,419 |
1,244 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,868 |
1,573 |
$0.00 |
| 3074F |
|
1,229 |
1,049 |
$0.00 |
| 91301 |
|
88 |
83 |
$0.00 |
| 1126F |
|
410 |
330 |
$0.00 |
| 1125F |
|
34 |
30 |
$0.00 |
| 3080F |
|
274 |
239 |
$0.00 |
| 97010 |
|
284 |
124 |
$0.00 |
| 1036F |
|
1,282 |
1,023 |
$0.00 |
| 3075F |
|
250 |
222 |
$0.00 |
| 3078F |
|
1,102 |
955 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,591 |
2,240 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,188 |
1,152 |
$0.00 |
| 1160F |
|
1,840 |
1,510 |
$0.00 |
| 90461 |
|
628 |
415 |
$0.00 |
| 91300 |
|
283 |
271 |
$0.00 |
| 3077F |
|
322 |
270 |
$0.00 |
| 3725F |
|
38 |
35 |
$0.00 |