| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,192 |
40,542 |
$2.16M |
| 80305 |
|
29,799 |
23,700 |
$213K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,677 |
2,458 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,256 |
4,433 |
$163K |
| 93880 |
|
1,426 |
1,254 |
$121K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,851 |
1,635 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,232 |
2,950 |
$69K |
| 81025 |
|
13,736 |
11,996 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
865 |
775 |
$58K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
564 |
495 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
560 |
506 |
$30K |
| 99490 |
Ccm add 20min |
3,737 |
2,913 |
$26K |
| 0716T |
|
92 |
80 |
$22K |
| 90686 |
|
1,205 |
1,125 |
$19K |
| 93000 |
|
1,834 |
1,642 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
11,061 |
9,665 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,312 |
1,211 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,621 |
1,420 |
$15K |
| 93925 |
|
116 |
109 |
$14K |
| 77080 |
|
295 |
266 |
$13K |
| 94010 |
|
685 |
619 |
$11K |
| 93978 |
|
112 |
101 |
$10K |
| 76770 |
|
194 |
171 |
$10K |
| 81002 |
|
5,938 |
5,250 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,064 |
830 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,846 |
2,240 |
$7K |
| 87430 |
|
861 |
801 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
136 |
132 |
$7K |
| 99050 |
|
522 |
478 |
$7K |
| 94760 |
|
14,585 |
11,888 |
$5K |
| 92552 |
|
351 |
303 |
$4K |
| 76775 |
|
87 |
79 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
47 |
$3K |
| 99215 |
Prolong outpt/office vis |
46 |
39 |
$3K |
| 99051 |
|
204 |
186 |
$3K |
| 81003 |
|
1,699 |
1,428 |
$2K |
| 76536 |
|
40 |
33 |
$2K |
| 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) |
677 |
619 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
929 |
859 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
246 |
210 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
39 |
$1K |
| 90656 |
|
71 |
65 |
$1K |
| 3079F |
|
4,512 |
3,910 |
$953.00 |
| 3074F |
|
5,214 |
4,467 |
$926.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,691 |
1,534 |
$849.68 |
| 99441 |
|
572 |
470 |
$798.84 |
| 3044F |
|
4,430 |
3,749 |
$770.00 |
| 3075F |
|
2,917 |
2,524 |
$742.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
253 |
203 |
$682.64 |
| 3078F |
|
3,549 |
3,065 |
$674.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
165 |
123 |
$603.65 |
| 3080F |
|
2,664 |
2,264 |
$575.00 |
| 82977 |
|
130 |
118 |
$572.80 |
| 82150 |
|
126 |
115 |
$508.76 |
| 3077F |
|
2,603 |
2,203 |
$495.50 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
48 |
43 |
$456.04 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
29 |
$387.04 |
| 82274 |
|
34 |
30 |
$386.76 |
| 84550 |
|
121 |
110 |
$350.22 |
| 84460 |
|
114 |
105 |
$269.28 |
| 84450 |
|
114 |
105 |
$262.65 |
| 82310 |
|
114 |
105 |
$261.63 |
| 84075 |
|
114 |
105 |
$211.15 |
| 82565 |
|
113 |
104 |
$203.60 |
| 82040 |
|
114 |
105 |
$202.54 |
| 84520 |
|
115 |
106 |
$161.13 |
| 82947 |
|
114 |
105 |
$156.40 |
| 82247 |
|
115 |
106 |
$156.21 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37 |
33 |
$151.13 |
| 84155 |
|
115 |
106 |
$149.24 |
| 99173 |
|
357 |
309 |
$139.62 |
| 3051F |
|
88 |
80 |
$110.00 |
| 96160 |
|
71 |
60 |
$55.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
453 |
345 |
$11.86 |
| 3072F |
|
46 |
39 |
$10.00 |
| 3008F |
|
12,427 |
10,452 |
$3.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
203 |
173 |
$0.94 |
| 1159F |
|
8,908 |
7,471 |
$0.25 |
| 1160F |
|
4,667 |
3,858 |
$0.00 |
| 90662 |
|
64 |
46 |
$0.00 |
| 1158F |
|
477 |
437 |
$0.00 |
| 3050F |
|
100 |
91 |
$0.00 |
| 3046F |
|
76 |
67 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34 |
33 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
14 |
13 |
$0.00 |
| 4010F |
|
2,940 |
2,477 |
$0.00 |
| 3049F |
|
326 |
294 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
79 |
$0.00 |
| 1157F |
|
437 |
402 |
$0.00 |
| 3048F |
|
618 |
553 |
$0.00 |
| 3066F |
|
81 |
70 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
42 |
35 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
85 |
73 |
$0.00 |