| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26,035 |
5,174 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,523 |
11,205 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,694 |
8,044 |
$554K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,916 |
4,644 |
$369K |
| 99490 |
Ccm add 20min |
9,055 |
8,822 |
$292K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,494 |
2,476 |
$247K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,954 |
4,658 |
$216K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,797 |
1,785 |
$164K |
| 99307 |
|
5,891 |
4,527 |
$138K |
| 99223 |
Prolong inpt eval add15 m |
795 |
758 |
$89K |
| 99385 |
|
765 |
759 |
$81K |
| 99496 |
|
501 |
491 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
906 |
176 |
$56K |
| 99304 |
|
959 |
908 |
$54K |
| 90756 |
|
1,796 |
1,781 |
$47K |
| 99424 |
|
810 |
761 |
$43K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,068 |
670 |
$40K |
| 99499 |
|
520 |
426 |
$38K |
| 99219 |
|
571 |
547 |
$37K |
| 99386 |
|
260 |
260 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,540 |
3,301 |
$30K |
| 99401 |
|
1,288 |
1,180 |
$30K |
| 99406 |
|
3,242 |
3,044 |
$26K |
| 99217 |
|
668 |
634 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
557 |
507 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
7,285 |
7,026 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
200 |
$22K |
| 99497 |
|
646 |
624 |
$22K |
| 99439 |
|
864 |
839 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,875 |
2,844 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,791 |
1,780 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
223 |
$19K |
| 87428 |
|
545 |
520 |
$17K |
| 99215 |
Prolong outpt/office vis |
171 |
169 |
$17K |
| 99315 |
|
262 |
256 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
198 |
189 |
$11K |
| 96127 |
|
3,451 |
3,423 |
$10K |
| 99305 |
|
127 |
121 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
523 |
150 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
225 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
430 |
$8K |
| 82962 |
|
2,900 |
2,866 |
$7K |
| 94010 |
|
410 |
407 |
$6K |
| 99495 |
|
58 |
57 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
115 |
$5K |
| 99221 |
|
96 |
94 |
$5K |
| 90661 |
|
158 |
158 |
$5K |
| 99235 |
|
45 |
45 |
$5K |
| 87807 |
|
482 |
462 |
$5K |
| 99443 |
|
96 |
90 |
$4K |
| 93000 |
|
798 |
779 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
271 |
264 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
158 |
153 |
$3K |
| 82044 |
|
567 |
559 |
$2K |
| 99442 |
|
34 |
34 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
200 |
198 |
$2K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
89 |
89 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
220 |
217 |
$2K |
| 81003 |
|
1,207 |
1,167 |
$2K |
| 82043 |
|
560 |
551 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
68 |
67 |
$2K |
| 92250 |
|
66 |
66 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,546 |
1,442 |
$2K |
| 99347 |
|
82 |
73 |
$1K |
| 0012A |
|
36 |
36 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
977 |
941 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
12 |
$1K |
| 83013 |
|
27 |
24 |
$959.47 |
| 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 |
107 |
104 |
$839.12 |
| 99487 |
Ccm add 20min |
12 |
12 |
$801.87 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$777.27 |
| 99334 |
|
55 |
47 |
$716.20 |
| G9007 |
Coordinated care fee, scheduled team conference |
859 |
761 |
$700.73 |
| 99491 |
Ccm add 20min |
16 |
16 |
$681.15 |
| 90688 |
|
42 |
42 |
$645.72 |
| 99407 |
|
42 |
41 |
$626.45 |
| 0011A |
|
14 |
12 |
$552.64 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
162 |
152 |
$535.87 |
| 98966 |
|
1,053 |
942 |
$531.73 |
| 99441 |
|
12 |
12 |
$498.50 |
| 99225 |
|
54 |
38 |
$416.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
20 |
$384.77 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$254.55 |
| 96160 |
|
429 |
425 |
$243.57 |
| 94060 |
|
14 |
14 |
$214.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$169.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
45 |
$102.68 |
| 99000 |
|
13 |
12 |
$69.21 |
| 0064A |
|
12 |
12 |
$60.00 |
| 1111F |
|
889 |
863 |
$48.75 |
| 3074F |
|
11,590 |
10,527 |
$33.72 |
| 81002 |
|
29 |
29 |
$31.68 |
| 3079F |
|
2,489 |
2,382 |
$31.51 |
| 3078F |
|
10,990 |
10,032 |
$27.72 |
| 3075F |
|
1,257 |
1,212 |
$25.28 |
| G0008 |
Administration of influenza virus vaccine |
56 |
54 |
$14.66 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
14 |
12 |
$13.84 |
| 1000F |
|
8,404 |
7,683 |
$8.42 |
| 4010F |
|
1,966 |
1,844 |
$7.02 |
| 1034F |
|
3,551 |
3,274 |
$6.79 |
| 3008F |
|
13,367 |
11,904 |
$6.59 |
| 4013F |
|
2,019 |
1,874 |
$6.40 |
| 1160F |
|
579 |
538 |
$1.73 |
| 4000F |
|
3,005 |
2,782 |
$1.23 |
| 1170F |
|
354 |
338 |
$1.05 |
| 1125F |
|
195 |
188 |
$0.66 |
| 3077F |
|
1,014 |
964 |
$0.37 |
| 1126F |
|
114 |
112 |
$0.34 |
| 4188F |
|
613 |
593 |
$0.34 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
47 |
$0.30 |
| 1159F |
|
116 |
111 |
$0.23 |
| 3011F |
|
533 |
515 |
$0.21 |
| 4037F |
|
671 |
662 |
$0.18 |
| 2000F |
|
11,556 |
10,435 |
$0.18 |
| 3754F |
|
487 |
480 |
$0.13 |
| 4025F |
|
637 |
605 |
$0.12 |
| 3080F |
|
297 |
285 |
$0.09 |
| 3511F |
|
250 |
248 |
$0.05 |
| 4140F |
|
247 |
229 |
$0.04 |
| 4190F |
|
141 |
134 |
$0.04 |
| 4064F |
|
260 |
249 |
$0.02 |
| 3051F |
|
14 |
14 |
$0.01 |
| 3014F |
|
55 |
54 |
$0.01 |
| 3725F |
|
2,886 |
2,845 |
$0.00 |
| 0521F |
|
80 |
75 |
$0.00 |
| E2101 |
Blood glucose monitor with integrated lancing/blood sample |
25 |
25 |
$0.00 |
| 4274F |
|
179 |
171 |
$0.00 |
| 3046F |
|
146 |
142 |
$0.00 |
| 2028F |
|
25 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
138 |
134 |
$0.00 |
| 2022F |
|
17 |
16 |
$0.00 |
| 4001F |
|
14 |
14 |
$0.00 |
| 3015F |
|
50 |
45 |
$0.00 |
| 3023F |
|
16 |
16 |
$0.00 |
| 1036F |
|
5,096 |
4,705 |
$0.00 |
| 4086F |
|
331 |
322 |
$0.00 |
| 3044F |
|
1,288 |
1,263 |
$0.00 |
| 4008F |
|
1,231 |
1,151 |
$0.00 |
| 3048F |
|
52 |
50 |
$0.00 |
| 3017F |
|
59 |
57 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| 91301 |
|
54 |
52 |
$0.00 |
| 3072F |
|
18 |
16 |
$0.00 |
| 3061F |
|
25 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
40 |
35 |
$0.00 |
| 3351F |
|
19 |
19 |
$0.00 |