| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,309 |
21,760 |
$1.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,618 |
24,617 |
$1.33M |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
623 |
294 |
$157K |
| 20611 |
|
1,814 |
1,132 |
$152K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,456 |
1,325 |
$115K |
| 36415 |
Collection of venous blood by venipuncture |
23,536 |
21,473 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,015 |
994 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
961 |
897 |
$69K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
27 |
24 |
$63K |
| 96127 |
|
17,414 |
15,662 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,219 |
5,042 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
730 |
726 |
$51K |
| 99215 |
Prolong outpt/office vis |
365 |
347 |
$44K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,244 |
6,001 |
$41K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
720 |
698 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
441 |
430 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
999 |
971 |
$30K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
999 |
971 |
$30K |
| 80061 |
Lipid panel |
2,654 |
2,618 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,930 |
1,886 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
184 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
633 |
615 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,829 |
1,777 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,159 |
2,130 |
$18K |
| 85027 |
|
3,059 |
2,971 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
528 |
500 |
$16K |
| 90686 |
|
1,701 |
1,660 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
322 |
313 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
538 |
527 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
279 |
272 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
194 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
204 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,584 |
1,535 |
$11K |
| 99490 |
Ccm add 20min |
2,174 |
2,025 |
$11K |
| 20610 |
|
198 |
165 |
$10K |
| 82565 |
|
1,886 |
1,843 |
$9K |
| 86780 |
|
611 |
599 |
$9K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
399 |
392 |
$9K |
| 84460 |
|
1,659 |
1,623 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,109 |
1,063 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
810 |
721 |
$7K |
| 84450 |
|
1,428 |
1,398 |
$7K |
| 81001 |
|
2,344 |
2,213 |
$7K |
| 90670 |
|
719 |
699 |
$6K |
| 86140 |
|
1,325 |
1,309 |
$6K |
| 87210 |
|
1,276 |
1,202 |
$6K |
| 90715 |
|
334 |
325 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
169 |
162 |
$6K |
| 84075 |
|
1,138 |
1,117 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
209 |
203 |
$5K |
| 87428 |
|
93 |
83 |
$5K |
| 80076 |
|
690 |
664 |
$5K |
| 0004A |
|
128 |
125 |
$5K |
| 90688 |
|
870 |
838 |
$5K |
| 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 |
40 |
40 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
186 |
$4K |
| 0001A |
|
127 |
127 |
$4K |
| 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) |
1,307 |
1,234 |
$4K |
| 84703 |
|
552 |
535 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
198 |
194 |
$4K |
| 87081 |
|
618 |
606 |
$4K |
| 0002A |
|
103 |
103 |
$4K |
| 87430 |
|
258 |
251 |
$3K |
| 85651 |
|
794 |
780 |
$3K |
| 11721 |
|
127 |
112 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
675 |
625 |
$3K |
| 0054A |
|
69 |
69 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
155 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
480 |
449 |
$3K |
| 85018 |
|
1,296 |
1,230 |
$3K |
| 93000 |
|
334 |
325 |
$3K |
| 0064A |
|
82 |
78 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
339 |
337 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
26 |
$2K |
| 0071A |
|
55 |
52 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
93 |
92 |
$2K |
| 99442 |
|
60 |
42 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
104 |
$2K |
| 99188 |
|
136 |
136 |
$2K |
| 0072A |
|
38 |
37 |
$2K |
| 82728 |
|
97 |
95 |
$1K |
| 86703 |
|
192 |
186 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$956.97 |
| 0011A |
|
63 |
63 |
$859.33 |
| 0012A |
|
60 |
60 |
$843.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
209 |
189 |
$830.11 |
| 82947 |
|
229 |
218 |
$825.98 |
| 80306 |
|
40 |
39 |
$801.40 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
189 |
183 |
$739.49 |
| 90474 |
|
81 |
79 |
$499.80 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$470.33 |
| 0124A |
|
12 |
12 |
$422.70 |
| 99173 |
|
239 |
239 |
$374.60 |
| 73565 |
|
14 |
12 |
$353.33 |
| 99000 |
|
14 |
14 |
$350.00 |
| 82570 |
|
71 |
70 |
$344.26 |
| 84466 |
|
26 |
24 |
$317.96 |
| 85610 |
|
277 |
180 |
$299.68 |
| 90677 |
|
12 |
12 |
$292.08 |
| 84439 |
|
39 |
38 |
$268.38 |
| 96415 |
|
15 |
12 |
$261.17 |
| 83540 |
|
38 |
36 |
$245.74 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$160.52 |
| 82950 |
|
25 |
25 |
$139.35 |
| 82043 |
|
26 |
26 |
$117.16 |
| 83735 |
|
12 |
12 |
$92.94 |
| 90656 |
|
19 |
19 |
$88.54 |
| 90710 |
|
26 |
26 |
$0.00 |
| X5622 |
|
146 |
146 |
$0.00 |
| 90633 |
|
34 |
33 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |
| 86592 |
|
107 |
106 |
$0.00 |
| 90647 |
|
272 |
267 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 90723 |
|
270 |
263 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
63 |
$0.00 |
| 90680 |
|
101 |
99 |
$0.00 |