| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108,999 |
99,036 |
$6.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114,839 |
103,079 |
$4.78M |
| 36478 |
|
3,180 |
1,123 |
$2.04M |
| 36466 |
|
552 |
348 |
$510K |
| 93970 |
|
2,331 |
2,251 |
$295K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,215 |
2,173 |
$187K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,845 |
938 |
$157K |
| 93922 |
|
3,031 |
2,843 |
$151K |
| 93000 |
|
13,278 |
12,628 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,700 |
1,632 |
$108K |
| 36465 |
|
99 |
79 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
962 |
924 |
$96K |
| 99497 |
|
2,111 |
1,925 |
$83K |
| 90791 |
Psychiatric diagnostic evaluation |
838 |
804 |
$82K |
| 76970 |
|
1,917 |
808 |
$67K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,512 |
659 |
$61K |
| 97164 |
|
1,266 |
534 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,072 |
3,111 |
$46K |
| 96127 |
|
16,984 |
14,863 |
$39K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,508 |
659 |
$35K |
| 99215 |
Prolong outpt/office vis |
450 |
427 |
$34K |
| 36470 |
|
524 |
335 |
$34K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,513 |
660 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,486 |
1,177 |
$33K |
| 96130 |
|
366 |
354 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
358 |
344 |
$26K |
| 94010 |
|
809 |
754 |
$16K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,510 |
1,391 |
$11K |
| 93971 |
|
211 |
155 |
$11K |
| 99385 |
|
110 |
107 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,167 |
1,122 |
$8K |
| 76775 |
|
282 |
273 |
$8K |
| 15852 |
|
417 |
232 |
$7K |
| 76942 |
|
268 |
202 |
$7K |
| 94060 |
|
186 |
172 |
$6K |
| 94760 |
|
8,984 |
7,278 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
114 |
102 |
$4K |
| 99386 |
|
13 |
13 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,387 |
1,075 |
$2K |
| 94621 |
|
15 |
13 |
$1K |
| 90662 |
|
68 |
61 |
$1K |
| 96116 |
|
26 |
24 |
$1K |
| 97162 |
|
13 |
13 |
$892.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
52 |
$845.68 |
| 92250 |
|
29 |
24 |
$660.68 |
| 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) |
104 |
96 |
$596.18 |
| 82962 |
|
536 |
453 |
$459.79 |
| 90715 |
|
13 |
12 |
$322.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
59 |
54 |
$291.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
14 |
$231.29 |
| 96160 |
|
97 |
96 |
$226.69 |
| 81002 |
|
107 |
97 |
$208.54 |
| 99406 |
|
312 |
257 |
$183.41 |
| 94200 |
|
16 |
13 |
$176.76 |
| 3078F |
|
27,878 |
22,752 |
$160.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$89.89 |
| A6260 |
Wound cleansers, any type, any size |
67 |
26 |
$75.28 |
| 99070 |
|
2,010 |
675 |
$55.24 |
| 99000 |
|
13 |
12 |
$38.02 |
| 99499 |
|
8,596 |
7,285 |
$30.18 |
| 94761 |
|
119 |
104 |
$21.33 |
| 1036F |
|
47,353 |
37,043 |
$17.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
26 |
$13.40 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
42,833 |
33,392 |
$11.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
294 |
274 |
$9.85 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
38,393 |
30,065 |
$8.87 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
62,925 |
48,521 |
$8.63 |
| 1160F |
|
58,111 |
46,467 |
$6.80 |
| 3008F |
|
65,019 |
51,985 |
$5.92 |
| 3074F |
|
33,883 |
27,630 |
$2.43 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34,388 |
26,438 |
$1.90 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
17,311 |
13,554 |
$1.32 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20,951 |
16,373 |
$1.27 |
| 3725F |
|
9,753 |
7,705 |
$0.78 |
| 1220F |
|
595 |
570 |
$0.48 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
4,919 |
3,872 |
$0.34 |
| 3079F |
|
16,175 |
13,468 |
$0.33 |
| 1159F |
|
7,387 |
5,732 |
$0.31 |
| 3016F |
|
2,755 |
2,360 |
$0.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,610 |
2,912 |
$0.23 |
| G9276 |
Documentation that patient is a current tobacco user |
10,393 |
7,913 |
$0.16 |
| 1034F |
|
8,997 |
7,045 |
$0.08 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
7,674 |
5,892 |
$0.06 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
1,713 |
1,382 |
$0.03 |
| 4013F |
|
241 |
188 |
$0.02 |
| 3755F |
|
341 |
233 |
$0.02 |
| 4010F |
|
1,192 |
929 |
$0.02 |
| 4450F |
|
373 |
308 |
$0.02 |
| 1170F |
|
495 |
324 |
$0.02 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,730 |
1,246 |
$0.01 |
| 3048F |
|
196 |
165 |
$0.01 |
| 3061F |
|
121 |
103 |
$0.01 |
| 4001F |
|
35 |
25 |
$0.00 |
| 4064F |
|
1,517 |
1,097 |
$0.00 |
| 3088F |
|
125 |
93 |
$0.00 |
| 3077F |
|
5,161 |
4,231 |
$0.00 |
| 99072 |
|
5,834 |
4,417 |
$0.00 |
| 4025F |
|
126 |
89 |
$0.00 |
| 0521F |
|
159 |
94 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
251 |
177 |
$0.00 |
| 3089F |
|
180 |
134 |
$0.00 |
| 3288F |
|
15 |
12 |
$0.00 |
| 1039F |
|
135 |
100 |
$0.00 |
| 4040F |
|
16 |
13 |
$0.00 |
| 4120F |
|
68 |
63 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
18 |
13 |
$0.00 |
| 93015 |
|
15 |
12 |
$0.00 |
| 3044F |
|
579 |
479 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,487 |
5,042 |
$0.00 |
| 3080F |
|
2,641 |
2,189 |
$0.00 |
| 3075F |
|
6,327 |
5,285 |
$0.00 |
| 1101F |
|
199 |
129 |
$0.00 |
| 4000F |
|
831 |
655 |
$0.00 |
| 1111F |
|
138 |
119 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
222 |
186 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,748 |
1,497 |
$0.00 |
| 99058 |
|
25 |
24 |
$0.00 |
| 1126F |
|
171 |
111 |
$0.00 |
| 1022F |
|
64 |
47 |
$0.00 |
| 4140F |
|
29 |
25 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| 4086F |
|
15 |
15 |
$0.00 |
| 1038F |
|
16 |
14 |
$0.00 |
| 4037F |
|
24 |
13 |
$0.00 |
| 1123F |
|
24 |
13 |
$0.00 |