| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,941 |
10,150 |
$560K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,240 |
6,338 |
$245K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,109 |
856 |
$211K |
| 99215 |
Prolong outpt/office vis |
4,266 |
2,734 |
$170K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,953 |
1,130 |
$66K |
| 90838 |
|
681 |
376 |
$41K |
| 80305 |
|
5,595 |
3,498 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,825 |
1,955 |
$27K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
969 |
638 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
842 |
589 |
$17K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
78 |
39 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
750 |
451 |
$15K |
| 90836 |
|
301 |
191 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
11,670 |
7,622 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,215 |
799 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
57 |
$4K |
| 99349 |
|
419 |
197 |
$4K |
| 81003 |
|
3,008 |
1,962 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
284 |
$2K |
| 99406 |
|
384 |
266 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
329 |
233 |
$2K |
| 81002 |
|
1,569 |
1,111 |
$2K |
| 90674 |
|
181 |
124 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
88 |
63 |
$1K |
| 82962 |
|
1,013 |
610 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
27 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
307 |
220 |
$1K |
| 99336 |
|
38 |
22 |
$932.40 |
| 0011A |
|
32 |
24 |
$880.00 |
| 93000 |
|
146 |
89 |
$801.75 |
| 99490 |
Ccm add 20min |
459 |
338 |
$672.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
684 |
446 |
$660.26 |
| 99497 |
|
293 |
175 |
$616.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
718 |
423 |
$602.97 |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
16 |
$599.39 |
| 0012A |
|
16 |
13 |
$480.00 |
| 99487 |
Ccm add 20min |
69 |
61 |
$473.33 |
| 99401 |
|
20 |
18 |
$366.72 |
| 90756 |
|
26 |
17 |
$345.72 |
| 90715 |
|
40 |
26 |
$315.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
41 |
$267.79 |
| 3008F |
|
2,406 |
1,638 |
$259.85 |
| 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) |
115 |
60 |
$113.28 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
235 |
137 |
$105.25 |
| 99489 |
Ccm add 20min |
48 |
40 |
$97.70 |
| 87210 |
|
44 |
26 |
$74.04 |
| 99439 |
|
23 |
19 |
$54.24 |
| 82270 |
|
41 |
24 |
$51.56 |
| 96160 |
|
67 |
46 |
$30.87 |
| 85610 |
|
28 |
16 |
$25.32 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
23 |
12 |
$5.78 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
47 |
28 |
$0.00 |
| 99499 |
|
18 |
18 |
$0.00 |
| 99000 |
|
89 |
63 |
$0.00 |