| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,223 |
10,633 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,142 |
3,310 |
$92K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,271 |
1,080 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
256 |
240 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
92 |
87 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
160 |
128 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
634 |
493 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
164 |
134 |
$5K |
| 94010 |
|
257 |
221 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
711 |
618 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
135 |
50 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,067 |
1,788 |
$2K |
| 99406 |
|
274 |
224 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$1K |
| 99497 |
|
205 |
150 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
244 |
227 |
$782.18 |
| 99442 |
|
25 |
19 |
$664.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
31 |
$650.08 |
| 99408 |
|
120 |
99 |
$558.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
42 |
$494.02 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
116 |
113 |
$359.35 |
| 99441 |
|
41 |
35 |
$326.22 |
| 99421 |
|
26 |
19 |
$273.24 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
27 |
$256.56 |
| 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) |
529 |
431 |
$221.57 |
| 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 |
27 |
20 |
$215.85 |
| 99305 |
|
28 |
27 |
$196.98 |
| 90674 |
|
102 |
95 |
$154.71 |
| 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.) |
470 |
383 |
$125.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
68 |
55 |
$121.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
44 |
$72.06 |
| 77080 |
|
27 |
12 |
$67.75 |
| 81003 |
|
275 |
249 |
$61.41 |
| G0008 |
Administration of influenza virus vaccine |
135 |
124 |
$24.75 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
47 |
41 |
$24.43 |
| 3044F |
|
99 |
87 |
$20.30 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$14.79 |
| 3078F |
|
430 |
378 |
$2.08 |
| 3074F |
|
391 |
336 |
$2.01 |
| 1126F |
|
165 |
158 |
$0.62 |
| 3079F |
|
72 |
66 |
$0.38 |
| 1125F |
|
84 |
81 |
$0.30 |
| 3075F |
|
57 |
55 |
$0.27 |
| 1100F |
|
1,119 |
997 |
$0.22 |
| 1101F |
|
646 |
591 |
$0.18 |
| 3017F |
|
377 |
329 |
$0.18 |
| 1159F |
|
1,002 |
848 |
$0.15 |
| 3077F |
|
13 |
13 |
$0.07 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
39 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
64 |
$0.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,907 |
1,630 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,403 |
1,231 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
740 |
660 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
55 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
674 |
620 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
465 |
427 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
100 |
84 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
60 |
56 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
458 |
401 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
235 |
218 |
$0.00 |
| 3288F |
|
429 |
398 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
745 |
658 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
56 |
55 |
$0.00 |
| 90756 |
|
16 |
14 |
$0.00 |
| 80305 |
|
13 |
12 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
26 |
25 |
$0.00 |