| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,669 |
34,202 |
$3.12M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38,017 |
26,730 |
$2.68M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,982 |
11,134 |
$1.26M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
53,664 |
8,109 |
$1.25M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14,432 |
9,796 |
$924K |
| D9999 |
Unspecified adjunctive procedure, by report |
6,948 |
5,183 |
$720K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,331 |
5,769 |
$640K |
| 99401 |
|
17,592 |
16,490 |
$595K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,136 |
1,050 |
$546K |
| 99000 |
|
21,521 |
19,953 |
$469K |
| 93976 |
|
1,383 |
1,349 |
$416K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,252 |
3,023 |
$349K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,388 |
2,589 |
$324K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,042 |
1,026 |
$273K |
| 97032 |
|
18,259 |
4,842 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,486 |
2,466 |
$224K |
| 92552 |
|
4,104 |
4,096 |
$221K |
| 97035 |
|
19,253 |
5,159 |
$216K |
| 97124 |
|
12,083 |
3,197 |
$213K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,386 |
5,326 |
$198K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,744 |
5,675 |
$189K |
| 93880 |
|
440 |
437 |
$173K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,674 |
1,237 |
$169K |
| 99051 |
|
7,457 |
6,618 |
$153K |
| 97162 |
|
2,729 |
1,541 |
$144K |
| 92133 |
|
2,211 |
2,202 |
$139K |
| 92250 |
|
2,181 |
2,162 |
$136K |
| 92083 |
|
1,865 |
1,855 |
$126K |
| D0120 |
Periodic oral evaluation - established patient |
5,350 |
2,923 |
$105K |
| 92015 |
Determination of refractive state |
4,726 |
4,706 |
$104K |
| 92134 |
|
1,307 |
1,248 |
$95K |
| 92201 |
|
1,825 |
1,796 |
$91K |
| 97116 |
|
5,000 |
1,258 |
$90K |
| 99406 |
|
2,006 |
1,983 |
$80K |
| 29540 |
|
535 |
384 |
$77K |
| 97802 |
|
3,444 |
3,374 |
$73K |
| 36416 |
|
2,428 |
2,422 |
$64K |
| 92202 |
|
1,207 |
1,186 |
$64K |
| 97803 |
|
3,257 |
3,226 |
$63K |
| 99173 |
|
2,691 |
2,682 |
$58K |
| 92020 |
|
1,088 |
1,074 |
$54K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,880 |
1,856 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,601 |
2,396 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,151 |
1,131 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
15,286 |
14,638 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,776 |
1,714 |
$46K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,480 |
1,562 |
$45K |
| 76830 |
Ultrasound, transvaginal |
790 |
779 |
$40K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,316 |
2,300 |
$39K |
| 99243 |
|
310 |
295 |
$39K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,510 |
1,441 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
517 |
497 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
740 |
713 |
$27K |
| 11721 |
|
545 |
544 |
$26K |
| 99441 |
|
267 |
257 |
$26K |
| 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 |
436 |
373 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,095 |
670 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,556 |
3,470 |
$22K |
| 92082 |
|
432 |
432 |
$22K |
| 99385 |
|
468 |
455 |
$20K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,008 |
1,998 |
$18K |
| 93970 |
|
64 |
37 |
$16K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
419 |
419 |
$16K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,477 |
1,321 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
500 |
497 |
$15K |
| 90686 |
|
940 |
934 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
109 |
$14K |
| 92226 |
|
313 |
310 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
689 |
155 |
$12K |
| 99386 |
|
312 |
309 |
$11K |
| 20552 |
|
41 |
41 |
$11K |
| 20550 |
|
38 |
28 |
$9K |
| 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 |
432 |
370 |
$8K |
| 99442 |
|
73 |
73 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
518 |
417 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
481 |
363 |
$6K |
| D4341 |
|
812 |
341 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
31 |
31 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$5K |
| 95812 |
|
47 |
25 |
$5K |
| 99408 |
|
225 |
224 |
$5K |
| 97163 |
|
56 |
41 |
$5K |
| 92225 |
|
72 |
72 |
$4K |
| 97164 |
|
176 |
68 |
$4K |
| 3074F |
|
3,838 |
3,632 |
$4K |
| 17110 |
|
15 |
12 |
$3K |
| D2330 |
|
201 |
136 |
$3K |
| 76514 |
|
31 |
26 |
$3K |
| 3077F |
|
2,229 |
2,143 |
$3K |
| 3078F |
|
3,144 |
3,000 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
512 |
497 |
$3K |
| 90461 |
|
977 |
967 |
$3K |
| 3079F |
|
2,819 |
2,726 |
$3K |
| 93923 |
|
42 |
29 |
$2K |
| 93000 |
|
825 |
807 |
$2K |
| D1110 |
Prophylaxis - adult |
2,078 |
2,077 |
$2K |
| A4402 |
Lubricant, per ounce |
3,295 |
3,029 |
$2K |
| 82607 |
|
195 |
190 |
$2K |
| 82728 |
|
191 |
186 |
$2K |
| 73630 |
|
280 |
246 |
$2K |
| 80061 |
Lipid panel |
228 |
223 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
1,582 |
1,564 |
$1K |
| 97018 |
|
129 |
27 |
$1K |
| 81025 |
|
440 |
430 |
$1K |
| 95886 |
|
13 |
13 |
$1K |
| 3080F |
|
703 |
677 |
$1K |
| 80050 |
General health panel |
54 |
54 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,073 |
2,036 |
$1K |
| 84439 |
|
150 |
146 |
$994.87 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
624 |
614 |
$991.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
152 |
150 |
$990.52 |
| 85018 |
|
1,578 |
1,570 |
$963.09 |
| 83540 |
|
203 |
199 |
$856.02 |
| 82977 |
|
169 |
165 |
$734.40 |
| 0011A |
|
25 |
25 |
$680.36 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
99 |
99 |
$661.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
52 |
$661.61 |
| D0210 |
Intraoral - complete series of radiographic images |
528 |
527 |
$652.80 |
| 83615 |
|
154 |
150 |
$635.64 |
| 84550 |
|
184 |
180 |
$595.87 |
| 90674 |
|
37 |
37 |
$585.43 |
| 84100 |
|
171 |
167 |
$583.73 |
| 96127 |
|
110 |
110 |
$563.31 |
| 83735 |
|
106 |
105 |
$486.96 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
4,272 |
4,207 |
$413.22 |
| 82550 |
|
87 |
86 |
$392.88 |
| 3075F |
|
453 |
445 |
$386.50 |
| 36410 |
|
14 |
13 |
$383.65 |
| 90670 |
|
49 |
49 |
$377.50 |
| 90734 |
|
28 |
26 |
$337.37 |
| 99072 |
|
710 |
648 |
$313.00 |
| 80053 |
Comprehensive metabolic panel |
50 |
47 |
$297.37 |
| 90656 |
|
29 |
29 |
$292.18 |
| 90715 |
|
12 |
12 |
$267.29 |
| 99070 |
|
19,605 |
17,584 |
$264.28 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
14,713 |
5,661 |
$235.38 |
| 99459 |
|
41 |
41 |
$217.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$214.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
57 |
$185.96 |
| 1160F |
|
2,050 |
2,003 |
$185.00 |
| 1159F |
|
1,928 |
1,884 |
$185.00 |
| 90633 |
|
42 |
42 |
$182.90 |
| A4268 |
Contraceptive supply, condom, female, each |
436 |
425 |
$175.15 |
| D0274 |
Bitewings - four radiographic images |
870 |
870 |
$132.60 |
| 86580 |
|
13 |
12 |
$125.74 |
| D1330 |
|
972 |
970 |
$107.91 |
| 99381 |
|
38 |
26 |
$107.10 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$95.16 |
| D1120 |
Prophylaxis - child |
502 |
501 |
$68.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
143 |
143 |
$52.00 |
| 82948 |
|
15 |
15 |
$51.40 |
| 90716 |
|
13 |
13 |
$33.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
482 |
452 |
$27.89 |
| 83986 |
|
15 |
12 |
$27.86 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
9,998 |
9,380 |
$22.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
467 |
466 |
$22.10 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
14,296 |
13,898 |
$18.40 |
| 90707 |
|
12 |
12 |
$16.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
125 |
116 |
$16.91 |
| A4265 |
Paraffin, per pound |
67 |
12 |
$15.81 |
| A6455 |
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard |
378 |
296 |
$7.19 |
| 81003 |
|
236 |
189 |
$6.53 |
| 3008F |
|
11,013 |
10,434 |
$0.26 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,190 |
4,009 |
$0.00 |
| 1000F |
|
744 |
738 |
$0.00 |
| 0513F |
|
1,307 |
1,276 |
$0.00 |
| 1220F |
|
2,027 |
1,996 |
$0.00 |
| 4293F |
|
128 |
127 |
$0.00 |
| 3011F |
|
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
69 |
69 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
27 |
25 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 3016F |
|
2,019 |
1,992 |
$0.00 |
| 99080 |
|
245 |
61 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
25 |
25 |
$0.00 |
| 2022F |
|
41 |
41 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
25 |
25 |
$0.00 |