| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,853 |
20,447 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,516 |
16,752 |
$923K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,730 |
3,670 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,224 |
1,138 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,184 |
1,173 |
$80K |
| X5622 |
|
2,456 |
2,356 |
$71K |
| 36415 |
Collection of venous blood by venipuncture |
19,407 |
17,683 |
$69K |
| 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 |
685 |
664 |
$54K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,429 |
6,228 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,471 |
3,360 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
585 |
574 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
537 |
409 |
$41K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,127 |
1,076 |
$38K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,058 |
1,013 |
$36K |
| 90686 |
|
4,750 |
4,573 |
$35K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,624 |
3,488 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
320 |
$25K |
| 80061 |
Lipid panel |
1,860 |
1,824 |
$22K |
| 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 |
651 |
632 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
947 |
930 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
186 |
$14K |
| 92551 |
|
2,393 |
2,353 |
$13K |
| 99215 |
Prolong outpt/office vis |
98 |
93 |
$13K |
| 99188 |
|
1,366 |
1,358 |
$12K |
| 0001A |
|
456 |
449 |
$12K |
| 81514 |
|
49 |
47 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,537 |
1,471 |
$12K |
| 0002A |
|
363 |
359 |
$10K |
| 0054A |
|
217 |
217 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
368 |
360 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
110 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
89 |
$8K |
| 91322 |
|
57 |
55 |
$6K |
| 0124A |
|
165 |
157 |
$5K |
| 90651 |
|
129 |
124 |
$4K |
| 86780 |
|
327 |
324 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
166 |
159 |
$4K |
| 0004A |
|
153 |
146 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
45 |
43 |
$3K |
| 90480 |
|
141 |
134 |
$3K |
| 85018 |
|
1,506 |
1,460 |
$3K |
| 90715 |
|
197 |
188 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
386 |
365 |
$2K |
| 90656 |
|
172 |
172 |
$2K |
| 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 |
89 |
84 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
537 |
470 |
$2K |
| 80053 |
Comprehensive metabolic panel |
200 |
196 |
$2K |
| 99173 |
|
2,073 |
2,032 |
$2K |
| 90670 |
|
839 |
827 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
49 |
46 |
$2K |
| 87481 |
|
46 |
43 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
232 |
231 |
$1K |
| 87210 |
|
247 |
238 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
164 |
158 |
$1K |
| 96127 |
|
355 |
345 |
$1K |
| 99177 |
|
212 |
211 |
$1K |
| 86803 |
|
77 |
77 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
13 |
$983.54 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
52 |
49 |
$943.38 |
| 81025 |
|
197 |
184 |
$928.60 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
27 |
27 |
$902.13 |
| 0052A |
|
19 |
19 |
$823.65 |
| 36416 |
|
194 |
169 |
$822.42 |
| 81001 |
|
270 |
256 |
$776.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$737.79 |
| 85027 |
|
129 |
125 |
$722.93 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$708.19 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
107 |
105 |
$681.67 |
| 90677 |
|
12 |
12 |
$595.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
91 |
$504.33 |
| 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) |
38 |
38 |
$417.33 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$415.57 |
| 83655 |
|
15 |
15 |
$393.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
37 |
$310.58 |
| 82728 |
|
12 |
12 |
$174.09 |
| 93000 |
|
15 |
15 |
$151.74 |
| 82565 |
|
26 |
26 |
$118.53 |
| 87081 |
|
27 |
27 |
$111.56 |
| 84295 |
|
12 |
12 |
$40.83 |
| 99442 |
|
13 |
13 |
$40.71 |
| 84132 |
|
13 |
13 |
$39.53 |
| 90707 |
|
44 |
44 |
$0.00 |
| 90633 |
|
78 |
75 |
$0.00 |
| 90734 |
|
79 |
73 |
$0.00 |
| 90681 |
|
18 |
18 |
$0.00 |
| 91300 |
|
30 |
29 |
$0.00 |
| 90647 |
|
246 |
244 |
$0.00 |
| 90716 |
|
81 |
81 |
$0.00 |
| 90723 |
|
348 |
346 |
$0.00 |
| 99000 |
|
42 |
41 |
$0.00 |