| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,394 |
16,602 |
$1.44M |
| 99223 |
Prolong inpt eval add15 m |
3,021 |
2,817 |
$323K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,363 |
1,879 |
$306K |
| 99233 |
Prolong inpt eval add15 m |
2,809 |
2,043 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,778 |
$166K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,207 |
2,098 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
345 |
344 |
$46K |
| 82652 |
|
1,375 |
1,363 |
$43K |
| 99220 |
|
366 |
358 |
$36K |
| 99215 |
Prolong outpt/office vis |
321 |
309 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,669 |
4,633 |
$29K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,242 |
2,224 |
$29K |
| 80053 |
Comprehensive metabolic panel |
2,537 |
2,508 |
$21K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
515 |
512 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,724 |
2,298 |
$18K |
| 80061 |
Lipid panel |
1,549 |
1,532 |
$16K |
| 94060 |
|
392 |
383 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,081 |
1,076 |
$8K |
| 84439 |
|
919 |
912 |
$6K |
| 82607 |
|
485 |
479 |
$6K |
| 99406 |
|
790 |
772 |
$6K |
| 93000 |
|
762 |
754 |
$6K |
| 99490 |
Ccm add 20min |
385 |
364 |
$5K |
| 90686 |
|
269 |
268 |
$5K |
| 82746 |
|
419 |
413 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
472 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,127 |
1,988 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 86328 |
|
60 |
60 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,387 |
1,110 |
$2K |
| 90682 |
|
34 |
34 |
$1K |
| 99217 |
|
38 |
37 |
$1K |
| 81002 |
|
481 |
457 |
$1K |
| 90688 |
|
62 |
62 |
$1K |
| 81003 |
|
481 |
471 |
$880.80 |
| 99408 |
|
42 |
41 |
$832.28 |
| 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) |
1,386 |
1,320 |
$567.22 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$558.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
40 |
37 |
$196.32 |
| 96160 |
|
48 |
48 |
$89.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
26 |
$52.18 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
13 |
$51.50 |
| 99072 |
|
468 |
437 |
$35.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
655 |
638 |
$8.84 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,856 |
13,082 |
$0.00 |
| 3044F |
|
626 |
623 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
440 |
433 |
$0.00 |
| 3049F |
|
234 |
231 |
$0.00 |
| 3080F |
|
294 |
289 |
$0.00 |
| 3074F |
|
1,173 |
1,133 |
$0.00 |
| 1111F |
|
128 |
123 |
$0.00 |
| 3079F |
|
828 |
810 |
$0.00 |
| 3048F |
|
153 |
148 |
$0.00 |
| 3075F |
|
338 |
337 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
131 |
121 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,274 |
1,218 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
585 |
567 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
336 |
321 |
$0.00 |
| 3050F |
|
258 |
253 |
$0.00 |
| 1159F |
|
16,218 |
15,263 |
$0.00 |
| 3077F |
|
577 |
555 |
$0.00 |
| 3078F |
|
984 |
953 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,719 |
12,938 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
58 |
58 |
$0.00 |