| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
1,793 |
1,687 |
$536K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,989 |
11,206 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,889 |
7,586 |
$93K |
| 99222 |
Initial hospital care, per day, moderate complexity |
184 |
154 |
$39K |
| 99215 |
Prolong outpt/office vis |
1,318 |
1,304 |
$29K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
755 |
432 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
2,643 |
941 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,026 |
1,042 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,152 |
1,079 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
539 |
517 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
488 |
487 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,280 |
1,192 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
281 |
221 |
$8K |
| 99497 |
|
715 |
699 |
$7K |
| 99490 |
Ccm add 20min |
525 |
523 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
685 |
679 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
356 |
$5K |
| 99305 |
|
80 |
69 |
$5K |
| 90686 |
|
619 |
616 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
135 |
$2K |
| 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.) |
152 |
152 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
416 |
348 |
$2K |
| 99000 |
|
1,345 |
1,313 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
100 |
100 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$1K |
| 82947 |
|
1,480 |
1,413 |
$949.53 |
| 93000 |
|
157 |
150 |
$820.99 |
| 1160F |
|
6,541 |
6,087 |
$702.22 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
319 |
315 |
$598.25 |
| 36415 |
Collection of venous blood by venipuncture |
1,589 |
1,523 |
$547.41 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$407.86 |
| 85018 |
|
1,045 |
1,042 |
$381.79 |
| 90688 |
|
25 |
25 |
$354.76 |
| 3008F |
|
12,395 |
11,412 |
$338.17 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
287 |
282 |
$330.90 |
| 1036F |
|
8,195 |
7,610 |
$287.17 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
195 |
194 |
$283.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
542 |
534 |
$262.83 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
564 |
554 |
$230.20 |
| 1125F |
|
1,776 |
1,713 |
$201.26 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
79 |
76 |
$191.48 |
| 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) |
74 |
72 |
$167.40 |
| 1126F |
|
5,904 |
5,614 |
$158.35 |
| 90662 |
|
18 |
18 |
$156.26 |
| 3074F |
|
6,781 |
6,389 |
$149.64 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
49 |
49 |
$123.17 |
| 0001A |
|
62 |
50 |
$120.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
144 |
144 |
$84.56 |
| 0013A |
|
42 |
26 |
$80.46 |
| 0002A |
|
49 |
39 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$54.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
33 |
$51.31 |
| 92551 |
|
13 |
13 |
$44.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$39.56 |
| 92228 |
|
12 |
12 |
$26.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$20.27 |
| 3075F |
|
523 |
499 |
$0.00 |
| 3079F |
|
882 |
848 |
$0.00 |
| 3048F |
|
153 |
149 |
$0.00 |
| 3044F |
|
91 |
87 |
$0.00 |
| 1031F |
|
274 |
253 |
$0.00 |
| 3351F |
|
23 |
22 |
$0.00 |
| A9150 |
Non-prescription drugs |
15 |
15 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
13 |
13 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 3078F |
|
7,480 |
7,015 |
$0.00 |
| 3077F |
|
423 |
401 |
$0.00 |
| 1159F |
|
4,598 |
4,405 |
$0.00 |
| 90461 |
|
26 |
26 |
$0.00 |
| 2028F |
|
79 |
75 |
$0.00 |
| 1033F |
|
269 |
251 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |