| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,517 |
18,561 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,649 |
14,269 |
$790K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,783 |
1,696 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,747 |
5,654 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,542 |
1,518 |
$142K |
| 99215 |
Prolong outpt/office vis |
1,348 |
1,284 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,860 |
1,843 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,523 |
1,508 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,619 |
1,571 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,502 |
1,477 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,141 |
1,133 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
702 |
686 |
$76K |
| X5622 |
|
2,285 |
2,232 |
$75K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
742 |
719 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,581 |
1,486 |
$51K |
| 92015 |
Determination of refractive state |
3,551 |
3,504 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
12,376 |
11,355 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,460 |
1,453 |
$35K |
| 97803 |
|
964 |
883 |
$34K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
8,031 |
7,923 |
$31K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
27 |
27 |
$31K |
| 99188 |
|
2,784 |
2,761 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
335 |
331 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,243 |
2,202 |
$24K |
| 92551 |
|
3,479 |
3,441 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
734 |
716 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
730 |
712 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
336 |
328 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
253 |
247 |
$19K |
| 80061 |
Lipid panel |
1,575 |
1,551 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
718 |
711 |
$18K |
| 90686 |
|
3,775 |
3,723 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,877 |
1,844 |
$15K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
545 |
528 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
899 |
876 |
$12K |
| 81514 |
|
48 |
47 |
$12K |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$11K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
141 |
138 |
$10K |
| 59025 |
Fetal non-stress test |
523 |
376 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,315 |
1,250 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
360 |
351 |
$7K |
| 92567 |
|
670 |
653 |
$7K |
| 80053 |
Comprehensive metabolic panel |
753 |
741 |
$7K |
| 86003 |
|
99 |
89 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
54 |
54 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
168 |
160 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
802 |
782 |
$5K |
| 92341 |
|
165 |
164 |
$5K |
| 85027 |
|
847 |
825 |
$5K |
| 87481 |
|
141 |
137 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
832 |
826 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
121 |
84 |
$4K |
| 92557 |
|
182 |
175 |
$4K |
| 86780 |
|
426 |
416 |
$4K |
| 0001A |
|
138 |
136 |
$4K |
| 99243 |
|
53 |
53 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
39 |
$4K |
| 99173 |
|
2,722 |
2,693 |
$4K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
145 |
142 |
$4K |
| 86803 |
|
266 |
262 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
517 |
502 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
33 |
24 |
$4K |
| V2020 |
Frames, purchases |
106 |
89 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
61 |
51 |
$3K |
| 99177 |
|
899 |
885 |
$3K |
| 0002A |
|
101 |
101 |
$3K |
| 82728 |
|
234 |
225 |
$3K |
| 0054A |
|
61 |
61 |
$3K |
| 90715 |
|
204 |
201 |
$3K |
| 90480 |
|
113 |
113 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
155 |
$2K |
| 96127 |
|
621 |
612 |
$2K |
| 90651 |
|
176 |
171 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
259 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
39 |
$2K |
| 85018 |
|
980 |
967 |
$2K |
| 84702 |
|
112 |
94 |
$2K |
| 90656 |
|
240 |
238 |
$2K |
| 0124A |
|
48 |
47 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
41 |
41 |
$1K |
| 0004A |
|
39 |
39 |
$1K |
| 80050 |
General health panel |
27 |
27 |
$1K |
| 99417 |
Prolong home eval add 15m |
13 |
13 |
$1K |
| 87340 |
|
106 |
104 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
28 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$986.44 |
| 90670 |
|
998 |
989 |
$979.19 |
| 87081 |
|
287 |
282 |
$908.43 |
| 83655 |
|
150 |
147 |
$900.78 |
| G0008 |
Administration of influenza virus vaccine |
124 |
109 |
$887.48 |
| 36416 |
|
487 |
448 |
$885.68 |
| 82607 |
|
55 |
55 |
$830.05 |
| 81025 |
|
96 |
93 |
$812.93 |
| 81001 |
|
438 |
414 |
$770.01 |
| 17110 |
|
12 |
12 |
$741.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$686.82 |
| 0071A |
|
14 |
14 |
$560.14 |
| 87210 |
|
164 |
156 |
$494.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
13 |
$447.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
57 |
$445.53 |
| 90707 |
|
148 |
146 |
$342.37 |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
26 |
$335.38 |
| 86850 |
|
30 |
28 |
$288.06 |
| 90734 |
|
76 |
72 |
$248.45 |
| 90716 |
|
252 |
249 |
$231.02 |
| 87338 |
|
13 |
13 |
$195.95 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$176.00 |
| 81003 |
|
93 |
89 |
$123.35 |
| 83718 |
|
16 |
14 |
$121.14 |
| 90688 |
|
12 |
12 |
$112.00 |
| 90672 |
|
77 |
77 |
$72.28 |
| 82248 |
|
12 |
12 |
$70.74 |
| 82465 |
|
16 |
14 |
$61.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
170 |
164 |
$47.83 |
| 86900 |
|
13 |
12 |
$37.60 |
| 86901 |
|
13 |
12 |
$37.60 |
| 90633 |
|
407 |
405 |
$0.00 |
| 90681 |
|
52 |
52 |
$0.00 |
| 91321 |
|
39 |
39 |
$0.00 |
| 90653 |
|
14 |
12 |
$0.00 |
| 90723 |
|
712 |
702 |
$0.00 |
| 90647 |
|
617 |
603 |
$0.00 |
| 90677 |
|
144 |
140 |
$0.00 |
| 90694 |
|
14 |
14 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |