| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,126 |
37,800 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,249 |
27,763 |
$1.25M |
| 99215 |
Prolong outpt/office vis |
2,387 |
2,094 |
$174K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,265 |
1,253 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
898 |
879 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
416 |
414 |
$35K |
| 99397 |
|
852 |
816 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
278 |
272 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,096 |
1,817 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,162 |
1,075 |
$19K |
| 94760 |
|
34,130 |
28,152 |
$18K |
| 99483 |
Prolong outpt/office vis |
144 |
140 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
349 |
342 |
$14K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
118 |
13 |
$13K |
| 93000 |
|
1,088 |
1,053 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
400 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
131 |
130 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,208 |
1,130 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
815 |
757 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,479 |
1,210 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
64 |
63 |
$6K |
| 90658 |
|
573 |
495 |
$6K |
| 90662 |
|
711 |
673 |
$5K |
| 93880 |
|
67 |
64 |
$5K |
| 0011A |
|
159 |
154 |
$5K |
| 0012A |
|
134 |
134 |
$5K |
| 93925 |
|
32 |
32 |
$4K |
| 95912 |
|
30 |
24 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$3K |
| 0013A |
|
78 |
78 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
149 |
134 |
$2K |
| 81002 |
|
1,139 |
966 |
$2K |
| 99051 |
|
705 |
636 |
$2K |
| 96127 |
|
773 |
719 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
787 |
741 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 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) |
361 |
350 |
$1K |
| 95117 |
|
161 |
41 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
39 |
$522.09 |
| 82270 |
|
329 |
234 |
$494.84 |
| 81025 |
|
71 |
68 |
$448.40 |
| 99490 |
Ccm add 20min |
39 |
39 |
$357.16 |
| 90686 |
|
16 |
16 |
$311.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
23 |
$298.04 |
| 20610 |
|
14 |
14 |
$295.14 |
| 94664 |
|
27 |
22 |
$274.85 |
| G0102 |
Prostate cancer screening; digital rectal examination |
90 |
70 |
$268.52 |
| 85014 |
|
121 |
114 |
$213.88 |
| G0008 |
Administration of influenza virus vaccine |
497 |
463 |
$167.80 |
| 99173 |
|
95 |
82 |
$148.47 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
32 |
30 |
$123.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$122.05 |
| 99000 |
|
109 |
89 |
$109.13 |
| 99499 |
|
21,891 |
17,079 |
$67.15 |
| 80305 |
|
16 |
13 |
$55.04 |
| 1125F |
|
13 |
13 |
$28.29 |
| 81000 |
|
12 |
12 |
$24.34 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,541 |
1,399 |
$22.60 |
| 3008F |
|
3,371 |
2,970 |
$21.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
14 |
$18.64 |
| 1159F |
|
3,304 |
3,000 |
$2.72 |
| 1160F |
|
3,294 |
2,990 |
$2.71 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
22 |
$1.06 |
| 3074F |
|
1,039 |
977 |
$0.99 |
| 3078F |
|
847 |
803 |
$0.74 |
| 3044F |
|
473 |
443 |
$0.46 |
| 96146 |
|
23 |
12 |
$0.39 |
| 4010F |
|
307 |
288 |
$0.20 |
| 4013F |
|
278 |
262 |
$0.20 |
| 91301 |
|
93 |
87 |
$0.16 |
| 3079F |
|
61 |
61 |
$0.08 |
| 3017F |
|
17 |
16 |
$0.04 |
| 3075F |
|
14 |
14 |
$0.02 |
| 1170F |
|
12 |
12 |
$0.02 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
45 |
43 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
38 |
28 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
13 |
$0.00 |
| 99053 |
|
813 |
714 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
54 |
41 |
$0.00 |
| 2028F |
|
16 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
12 |
$0.00 |