| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,857 |
3,602 |
$52K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
2,646 |
674 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,768 |
7,698 |
$27K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
1,171 |
1,171 |
$20K |
| 93000 |
|
1,547 |
1,498 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
550 |
502 |
$4K |
| 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 |
383 |
383 |
$3K |
| 76881 |
|
950 |
775 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
134 |
122 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
149 |
38 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
203 |
183 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
847 |
632 |
$1K |
| 80061 |
Lipid panel |
115 |
104 |
$923.45 |
| 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) |
159 |
158 |
$676.44 |
| 20611 |
|
3,347 |
966 |
$627.22 |
| 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 |
87 |
87 |
$566.28 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
141 |
37 |
$532.04 |
| 76536 |
|
224 |
222 |
$514.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
58 |
$403.20 |
| 97035 |
|
141 |
38 |
$287.54 |
| 71046 |
Radiologic examination, chest; 2 views |
242 |
237 |
$248.81 |
| 76770 |
|
65 |
65 |
$231.91 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
91 |
33 |
$163.39 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
54 |
18 |
$148.42 |
| 20610 |
|
314 |
236 |
$117.06 |
| 99442 |
|
66 |
63 |
$80.55 |
| 81003 |
|
87 |
86 |
$78.48 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
24 |
23 |
$75.36 |
| 99307 |
|
92 |
90 |
$44.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$9.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
378 |
333 |
$3.78 |
| 1160F |
|
252 |
193 |
$0.00 |
| 3725F |
|
292 |
227 |
$0.00 |
| 3078F |
|
133 |
110 |
$0.00 |
| 1159F |
|
252 |
192 |
$0.00 |
| 93880 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$0.00 |
| 72110 |
|
14 |
14 |
$0.00 |
| 1126F |
|
88 |
83 |
$0.00 |
| 1036F |
|
258 |
201 |
$0.00 |
| 3008F |
|
282 |
222 |
$0.00 |
| 3074F |
|
104 |
94 |
$0.00 |
| 1125F |
|
39 |
34 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |