| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,819 |
93,627 |
$2.80M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
72,853 |
61,679 |
$2.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,454 |
50,331 |
$2.14M |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
41,908 |
35,587 |
$2.08M |
| 62323 |
|
5,225 |
4,260 |
$320K |
| 64483 |
|
2,740 |
2,288 |
$199K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,462 |
1,994 |
$167K |
| 62321 |
|
2,271 |
1,888 |
$136K |
| 99442 |
|
5,828 |
4,392 |
$97K |
| 64490 |
|
1,222 |
990 |
$79K |
| 62370 |
|
3,338 |
2,042 |
$76K |
| 64633 |
|
474 |
402 |
$73K |
| 64493 |
|
1,076 |
814 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,529 |
1,220 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,479 |
2,838 |
$58K |
| 64484 |
|
1,105 |
918 |
$57K |
| 27096 |
|
435 |
324 |
$55K |
| 62369 |
|
2,288 |
1,537 |
$48K |
| 64491 |
|
1,306 |
988 |
$43K |
| 99215 |
Prolong outpt/office vis |
567 |
405 |
$34K |
| 64494 |
|
1,102 |
773 |
$32K |
| 64420 |
|
1,285 |
822 |
$28K |
| 64421 |
|
2,049 |
1,061 |
$28K |
| 64634 |
|
560 |
385 |
$26K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
461 |
400 |
$24K |
| 64635 |
|
108 |
89 |
$19K |
| 76881 |
|
391 |
247 |
$19K |
| 95886 |
|
221 |
172 |
$15K |
| 95913 |
|
77 |
59 |
$9K |
| 77002 |
|
771 |
611 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
440 |
221 |
$7K |
| 99205 |
Prolong outpt/office vis |
81 |
58 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,140 |
1,745 |
$7K |
| 64636 |
|
128 |
89 |
$7K |
| J3490 |
Unclassified drugs |
2,290 |
648 |
$7K |
| 95911 |
|
82 |
60 |
$6K |
| 20610 |
|
203 |
163 |
$5K |
| 00670 |
|
76 |
51 |
$5K |
| 99443 |
|
212 |
155 |
$5K |
| 20611 |
|
74 |
54 |
$4K |
| 76942 |
|
87 |
68 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
114 |
88 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
66 |
53 |
$3K |
| 99406 |
|
788 |
552 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
310 |
243 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
314 |
240 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
255 |
218 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
255 |
200 |
$2K |
| 20552 |
|
67 |
54 |
$2K |
| 99072 |
|
3,280 |
2,658 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
147 |
143 |
$2K |
| 99441 |
|
51 |
34 |
$926.78 |
| 01940 |
|
28 |
25 |
$780.50 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,868 |
1,581 |
$389.37 |
| 98967 |
|
170 |
109 |
$340.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
462 |
351 |
$183.27 |
| 77003 |
|
69 |
63 |
$174.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
99 |
$111.27 |
| 80305 |
|
158 |
112 |
$69.88 |
| 62368 |
|
15 |
12 |
$40.46 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
12 |
$2.02 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,425 |
950 |
$0.00 |
| G9562 |
Patients who had a follow-up evaluation conducted at least every three months during opioid therapy |
1,204 |
813 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
1,242 |
830 |
$0.00 |
| 888888 |
|
77 |
77 |
$0.00 |
| A4220 |
Refill kit for implantable infusion pump |
77 |
60 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
915 |
640 |
$0.00 |