| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,361 |
14,263 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,603 |
13,459 |
$677K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,968 |
5,807 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,479 |
1,438 |
$98K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,190 |
5,951 |
$87K |
| X5622 |
|
1,579 |
1,524 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
867 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
750 |
731 |
$50K |
| 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 |
592 |
569 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,440 |
2,359 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
11,077 |
10,032 |
$38K |
| 99188 |
|
2,146 |
2,097 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
202 |
$16K |
| 92551 |
|
3,401 |
3,302 |
$15K |
| 96127 |
|
4,095 |
3,883 |
$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 |
485 |
466 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,853 |
1,580 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
533 |
524 |
$9K |
| 80053 |
Comprehensive metabolic panel |
739 |
716 |
$8K |
| 80061 |
Lipid panel |
563 |
556 |
$7K |
| 90686 |
|
2,270 |
2,191 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
490 |
462 |
$5K |
| 99215 |
Prolong outpt/office vis |
43 |
39 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
760 |
699 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
138 |
$4K |
| 85027 |
|
752 |
728 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
159 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
398 |
387 |
$4K |
| 99421 |
|
137 |
132 |
$3K |
| 99173 |
|
3,427 |
3,338 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
28 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
67 |
66 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
69 |
$2K |
| 99441 |
|
151 |
105 |
$2K |
| 99442 |
|
101 |
56 |
$2K |
| 90651 |
|
109 |
108 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
42 |
$2K |
| 87081 |
|
319 |
301 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
42 |
42 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
123 |
115 |
$937.47 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$843.91 |
| 86803 |
|
56 |
55 |
$826.63 |
| 90715 |
|
70 |
69 |
$710.42 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$707.86 |
| 90670 |
|
588 |
558 |
$685.37 |
| 90682 |
|
14 |
13 |
$650.00 |
| 99243 |
|
12 |
12 |
$607.92 |
| 36416 |
|
174 |
136 |
$530.52 |
| 84439 |
|
55 |
55 |
$517.24 |
| 81001 |
|
221 |
217 |
$504.91 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$444.58 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$392.26 |
| 87210 |
|
72 |
70 |
$346.90 |
| 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 |
12 |
12 |
$317.35 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$293.14 |
| 86140 |
|
51 |
51 |
$242.52 |
| 90480 |
|
13 |
13 |
$239.95 |
| 90656 |
|
108 |
108 |
$214.11 |
| 90461 |
|
18 |
15 |
$204.08 |
| 99000 |
|
16 |
15 |
$192.00 |
| 96161 |
|
68 |
67 |
$130.54 |
| 81025 |
|
12 |
12 |
$111.48 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$105.48 |
| 85652 |
|
24 |
24 |
$61.26 |
| 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) |
88 |
84 |
$39.52 |
| 85018 |
|
55 |
52 |
$33.28 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90633 |
|
212 |
202 |
$0.00 |
| 90685 |
|
102 |
101 |
$0.00 |
| 90734 |
|
97 |
96 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90698 |
|
271 |
249 |
$0.00 |
| 90744 |
|
39 |
38 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |