| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,249 |
44,599 |
$4.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,126 |
20,531 |
$2.96M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,448 |
6,442 |
$667K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,321 |
4,314 |
$512K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,879 |
1,876 |
$293K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,127 |
2,126 |
$271K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,451 |
1,448 |
$174K |
| 99051 |
|
26,182 |
24,244 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,199 |
1,172 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,184 |
2,099 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
918 |
918 |
$109K |
| 99385 |
|
855 |
855 |
$107K |
| 69210 |
|
1,789 |
1,701 |
$97K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,278 |
3,202 |
$82K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,814 |
3,546 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,367 |
21,565 |
$76K |
| 17110 |
|
453 |
395 |
$59K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
298 |
285 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
213 |
$28K |
| 99381 |
|
219 |
219 |
$26K |
| 92587 |
|
806 |
805 |
$24K |
| 99383 |
|
172 |
172 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,240 |
1,036 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,527 |
2,502 |
$20K |
| 99442 |
|
215 |
202 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
260 |
260 |
$18K |
| 99215 |
Prolong outpt/office vis |
89 |
71 |
$17K |
| 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 |
245 |
242 |
$14K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
131 |
130 |
$14K |
| 76857 |
|
334 |
155 |
$14K |
| 99382 |
|
87 |
87 |
$11K |
| 99443 |
|
77 |
75 |
$10K |
| 99441 |
|
202 |
188 |
$10K |
| 90756 |
|
377 |
377 |
$9K |
| M0244 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
13 |
13 |
$9K |
| 30210 |
|
43 |
42 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
88 |
29 |
$7K |
| 87081 |
|
1,541 |
1,307 |
$6K |
| 76830 |
Ultrasound, transvaginal |
78 |
60 |
$6K |
| 87428 |
|
101 |
95 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
203 |
198 |
$5K |
| 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 |
245 |
242 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$4K |
| 90688 |
|
225 |
225 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
666 |
663 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
135 |
121 |
$3K |
| 81000 |
|
1,000 |
928 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,048 |
852 |
$3K |
| 92550 |
|
254 |
248 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
54 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
61 |
$2K |
| 99050 |
|
229 |
210 |
$2K |
| 85048 |
|
571 |
518 |
$1K |
| 90686 |
|
362 |
362 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
55 |
$1K |
| 90658 |
|
60 |
60 |
$1K |
| 96127 |
|
135 |
134 |
$801.54 |
| 73630 |
|
28 |
28 |
$613.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
283 |
269 |
$516.57 |
| 73130 |
|
24 |
24 |
$497.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
180 |
115 |
$470.94 |
| 93000 |
|
37 |
37 |
$444.00 |
| 81003 |
|
301 |
285 |
$430.16 |
| 73110 |
|
14 |
14 |
$380.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
43 |
$324.76 |
| 90710 |
|
224 |
224 |
$299.42 |
| 81001 |
|
109 |
101 |
$260.48 |
| 90697 |
|
289 |
286 |
$158.54 |
| 92567 |
|
14 |
14 |
$152.74 |
| 86580 |
|
26 |
25 |
$104.00 |
| 36415 |
Collection of venous blood by venipuncture |
876 |
867 |
$52.72 |
| 85018 |
|
29 |
29 |
$44.80 |
| 90744 |
|
56 |
56 |
$28.59 |
| 90723 |
|
396 |
392 |
$0.00 |
| 90698 |
|
126 |
126 |
$0.00 |
| 90647 |
|
47 |
42 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90696 |
|
98 |
98 |
$0.00 |
| 90670 |
|
566 |
557 |
$0.00 |
| 90648 |
|
36 |
35 |
$0.00 |
| 90461 |
|
35 |
35 |
$0.00 |
| 90700 |
|
43 |
43 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90734 |
|
41 |
41 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |