| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
11,915 |
7,440 |
$2.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,339 |
17,466 |
$714K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,776 |
8,696 |
$693K |
| G9012 |
Other specified case management service not elsewhere classified |
1,939 |
1,605 |
$455K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,756 |
4,678 |
$371K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,829 |
2,823 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,068 |
5,736 |
$283K |
| 90791 |
Psychiatric diagnostic evaluation |
1,309 |
1,303 |
$210K |
| 76641 |
|
1,300 |
1,297 |
$131K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
447 |
446 |
$124K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,427 |
2,427 |
$121K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,603 |
1,603 |
$114K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,362 |
1,361 |
$87K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
972 |
968 |
$86K |
| 76770 |
|
971 |
971 |
$82K |
| 73110 |
|
3,152 |
2,866 |
$75K |
| 77066 |
Tomosynthesis, mammo |
471 |
471 |
$73K |
| 73610 |
|
2,532 |
2,336 |
$61K |
| 73630 |
|
2,295 |
1,976 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,538 |
1,437 |
$37K |
| 73562 |
|
1,496 |
1,306 |
$34K |
| 73130 |
|
1,368 |
1,261 |
$33K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
662 |
661 |
$33K |
| 93000 |
|
916 |
908 |
$33K |
| 76536 |
|
484 |
484 |
$30K |
| 73080 |
|
1,247 |
1,166 |
$30K |
| 76642 |
|
334 |
334 |
$27K |
| 99243 |
|
470 |
470 |
$26K |
| 25600 |
|
143 |
140 |
$24K |
| Q9956 |
Injection, octafluoropropane microspheres, per ml |
203 |
203 |
$21K |
| 77065 |
Tomosynthesis, mammo |
155 |
153 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
644 |
643 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
287 |
281 |
$16K |
| 99215 |
Prolong outpt/office vis |
236 |
221 |
$15K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
208 |
208 |
$12K |
| 99348 |
|
217 |
184 |
$12K |
| 73030 |
|
466 |
427 |
$12K |
| 73090 |
|
535 |
483 |
$11K |
| 73590 |
|
510 |
487 |
$10K |
| 31505 |
|
129 |
125 |
$9K |
| 99349 |
|
82 |
76 |
$9K |
| 26600 |
|
61 |
59 |
$9K |
| 29075 |
|
70 |
69 |
$7K |
| 77080 |
|
189 |
189 |
$7K |
| 96127 |
|
883 |
863 |
$7K |
| 20610 |
|
105 |
96 |
$6K |
| 73140 |
|
360 |
340 |
$6K |
| 26720 |
|
61 |
60 |
$5K |
| 76830 |
Ultrasound, transvaginal |
59 |
59 |
$4K |
| 90674 |
|
108 |
107 |
$4K |
| 76870 |
|
57 |
57 |
$4K |
| 93970 |
|
17 |
17 |
$3K |
| 46600 |
|
41 |
38 |
$3K |
| 23500 |
|
24 |
24 |
$3K |
| 27786 |
|
12 |
12 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
230 |
214 |
$2K |
| 99344 |
|
17 |
17 |
$2K |
| 73000 |
|
95 |
95 |
$2K |
| 29125 |
|
28 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 72100 |
|
51 |
51 |
$2K |
| 73564 |
|
45 |
41 |
$1K |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
65 |
65 |
$1K |
| 99242 |
|
17 |
17 |
$946.56 |
| 20526 |
|
14 |
14 |
$918.54 |
| 73552 |
|
30 |
29 |
$918.30 |
| 20550 |
|
15 |
12 |
$772.74 |
| 90661 |
|
15 |
15 |
$743.55 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
46 |
46 |
$707.48 |
| 90715 |
|
14 |
14 |
$640.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$521.15 |
| 73502 |
|
12 |
12 |
$470.46 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
33 |
32 |
$376.12 |
| 76882 |
|
12 |
12 |
$330.72 |
| 82948 |
|
63 |
53 |
$172.49 |
| 3078F |
|
1,067 |
1,009 |
$0.00 |
| 3077F |
|
418 |
398 |
$0.00 |
| 3075F |
|
186 |
180 |
$0.00 |
| 3074F |
|
1,278 |
1,203 |
$0.00 |
| 3079F |
|
770 |
746 |
$0.00 |
| 3080F |
|
74 |
67 |
$0.00 |
| 99070 |
|
13 |
13 |
$0.00 |