| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206,449 |
179,327 |
$37.53M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70,259 |
62,523 |
$12.02M |
| 90832 |
Psychotherapy, 30 minutes with patient |
33,302 |
23,837 |
$6.03M |
| 90834 |
Psychotherapy, 45 minutes with patient |
22,375 |
14,943 |
$4.11M |
| D0999 |
Unspecified diagnostic procedure, by report |
17,302 |
14,097 |
$3.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,073 |
18,260 |
$3.25M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15,741 |
15,314 |
$1.77M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,234 |
8,208 |
$1.56M |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,926 |
4,804 |
$1.26M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,273 |
6,238 |
$1.24M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,857 |
5,685 |
$1.16M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,402 |
5,377 |
$1.05M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,257 |
5,255 |
$1.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,997 |
4,984 |
$984K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
23,718 |
17,875 |
$970K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,605 |
4,590 |
$915K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,985 |
3,710 |
$785K |
| 90791 |
Psychiatric diagnostic evaluation |
3,357 |
3,314 |
$648K |
| 99441 |
|
15,262 |
14,219 |
$416K |
| Q3014 |
Telehealth originating site facility fee |
27,791 |
25,190 |
$350K |
| 99442 |
|
8,042 |
7,495 |
$348K |
| 99233 |
Prolong inpt eval add15 m |
1,737 |
511 |
$319K |
| 99385 |
|
1,460 |
1,458 |
$292K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,347 |
1,339 |
$252K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,197 |
1,193 |
$228K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,263 |
1,262 |
$224K |
| 90863 |
|
1,273 |
1,238 |
$145K |
| 99386 |
|
607 |
607 |
$121K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
3,365 |
2,040 |
$121K |
| 99381 |
|
560 |
553 |
$111K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
581 |
466 |
$110K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,219 |
15,855 |
$109K |
| 99384 |
|
485 |
485 |
$96K |
| 99223 |
Prolong inpt eval add15 m |
465 |
420 |
$93K |
| 36415 |
Collection of venous blood by venipuncture |
14,738 |
14,391 |
$85K |
| 99383 |
|
421 |
421 |
$82K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
408 |
372 |
$82K |
| 93000 |
|
2,641 |
2,622 |
$63K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,933 |
3,906 |
$61K |
| 99422 |
|
1,890 |
1,781 |
$51K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
239 |
112 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
1,571 |
1,552 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,029 |
10,844 |
$41K |
| 99173 |
|
4,139 |
4,121 |
$38K |
| 90686 |
|
6,215 |
6,207 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
454 |
433 |
$36K |
| 69210 |
|
1,087 |
1,038 |
$29K |
| 99382 |
|
150 |
149 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,545 |
12,468 |
$28K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,852 |
5,483 |
$28K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,149 |
1,142 |
$27K |
| 72100 |
|
957 |
953 |
$25K |
| 90899 |
|
134 |
127 |
$25K |
| 99421 |
|
2,589 |
2,456 |
$23K |
| 73562 |
|
971 |
850 |
$22K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,855 |
1,817 |
$22K |
| 92551 |
|
1,665 |
1,659 |
$22K |
| 99215 |
Prolong outpt/office vis |
116 |
113 |
$19K |
| 96150 |
|
73 |
73 |
$14K |
| 90715 |
|
1,914 |
1,908 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,171 |
1,133 |
$13K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
295 |
278 |
$13K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
1,478 |
1,464 |
$12K |
| 99443 |
|
221 |
217 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18,425 |
17,382 |
$11K |
| 99205 |
Prolong outpt/office vis |
43 |
43 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,362 |
1,295 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,149 |
1,123 |
$7K |
| 73630 |
|
341 |
318 |
$7K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
428 |
426 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,242 |
3,183 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
55 |
$6K |
| 73030 |
|
213 |
197 |
$5K |
| 99220 |
|
25 |
24 |
$5K |
| 81002 |
|
1,787 |
1,688 |
$4K |
| 74018 |
|
213 |
211 |
$4K |
| 87807 |
|
555 |
521 |
$4K |
| 36416 |
|
1,022 |
968 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,638 |
1,470 |
$4K |
| 85610 |
|
509 |
386 |
$3K |
| 73610 |
|
160 |
150 |
$3K |
| 99423 |
|
64 |
62 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
920 |
902 |
$3K |
| 83655 |
|
588 |
586 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
94 |
93 |
$2K |
| 96103 |
|
12 |
12 |
$2K |
| 73110 |
|
85 |
78 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
166 |
163 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
43 |
$2K |
| 90658 |
|
416 |
416 |
$2K |
| 99217 |
|
12 |
12 |
$2K |
| 91301 |
|
5,059 |
4,985 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
40 |
37 |
$2K |
| 73130 |
|
95 |
83 |
$1K |
| 85014 |
|
1,736 |
1,480 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,460 |
4,138 |
$1K |
| 87428 |
|
1,191 |
1,178 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
13 |
$1K |
| 1000F |
|
14,487 |
13,293 |
$924.93 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
120 |
98 |
$701.66 |
| 81025 |
|
7,180 |
7,032 |
$696.57 |
| J0456 |
Injection, azithromycin, 500 mg |
121 |
118 |
$639.41 |
| 3351F |
|
13,810 |
12,674 |
$630.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
443 |
443 |
$583.37 |
| 82270 |
|
248 |
242 |
$581.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
475 |
419 |
$559.76 |
| 86580 |
|
180 |
166 |
$558.64 |
| 3008F |
|
8,225 |
7,772 |
$514.52 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
157 |
155 |
$513.90 |
| 0011A |
|
2,143 |
2,130 |
$481.75 |
| 84481 |
|
52 |
52 |
$468.64 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
43 |
43 |
$463.79 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,492 |
2,480 |
$435.75 |
| 72040 |
|
12 |
12 |
$416.54 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
17 |
12 |
$400.79 |
| 90734 |
|
1,255 |
1,252 |
$338.81 |
| 72070 |
|
13 |
13 |
$337.56 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
41 |
41 |
$333.74 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
522 |
500 |
$324.20 |
| 90732 |
|
593 |
593 |
$319.58 |
| 1036F |
|
6,419 |
5,695 |
$287.53 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,416 |
4,369 |
$241.66 |
| 80053 |
Comprehensive metabolic panel |
11,280 |
11,222 |
$227.18 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,178 |
5,070 |
$200.49 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
323 |
314 |
$198.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,307 |
10,284 |
$196.47 |
| 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 |
1,265 |
1,248 |
$165.27 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,454 |
4,406 |
$163.63 |
| 91303 |
|
281 |
279 |
$159.39 |
| 86677 |
|
15 |
12 |
$153.84 |
| 94200 |
|
45 |
44 |
$146.34 |
| 86592 |
|
1,171 |
1,167 |
$124.84 |
| 81003 |
|
10,001 |
9,617 |
$115.17 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
26 |
23 |
$94.80 |
| 0013A |
|
547 |
547 |
$93.42 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
15 |
15 |
$85.39 |
| 90723 |
|
949 |
944 |
$77.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,549 |
10,472 |
$74.44 |
| 82948 |
|
1,991 |
1,929 |
$68.83 |
| 4004F |
|
3,237 |
3,144 |
$66.13 |
| 80061 |
Lipid panel |
7,505 |
7,481 |
$56.68 |
| 90707 |
|
42 |
42 |
$53.49 |
| 99406 |
|
71 |
70 |
$50.40 |
| 87480 |
|
526 |
521 |
$46.20 |
| 87070 |
|
1,899 |
1,869 |
$44.23 |
| 82607 |
|
1,569 |
1,564 |
$43.39 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
14 |
$32.70 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
55 |
54 |
$31.61 |
| 90670 |
|
2,072 |
2,066 |
$6.66 |
| 90651 |
|
1,782 |
1,781 |
$4.85 |
| 90633 |
|
1,468 |
1,467 |
$4.60 |
| 90710 |
|
1,006 |
1,005 |
$3.14 |
| 3078F |
|
1,122 |
1,074 |
$2.16 |
| 3074F |
|
1,183 |
1,125 |
$2.15 |
| 0012A |
|
2,157 |
2,117 |
$1.98 |
| 90680 |
|
628 |
628 |
$1.92 |
| 90647 |
|
430 |
430 |
$1.72 |
| 90648 |
|
550 |
549 |
$1.72 |
| 90700 |
|
236 |
236 |
$0.79 |
| 90698 |
|
299 |
298 |
$0.68 |
| 3079F |
|
335 |
326 |
$0.62 |
| 3044F |
|
114 |
114 |
$0.36 |
| 3075F |
|
162 |
158 |
$0.31 |
| 0031A |
|
284 |
283 |
$0.19 |
| 90660 |
|
60 |
60 |
$0.14 |
| 3077F |
|
58 |
56 |
$0.12 |
| 3051F |
|
25 |
25 |
$0.10 |
| 90716 |
|
55 |
55 |
$0.08 |
| 3080F |
|
14 |
12 |
$0.03 |
| 3046F |
|
12 |
12 |
$0.03 |
| 90681 |
|
13 |
13 |
$0.02 |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,563 |
8,509 |
$0.00 |
| 81001 |
|
3,828 |
3,809 |
$0.00 |
| 88142 |
|
1,659 |
1,654 |
$0.00 |
| 84480 |
|
833 |
829 |
$0.00 |
| 84436 |
|
1,725 |
1,720 |
$0.00 |
| 84479 |
|
745 |
740 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,747 |
3,733 |
$0.00 |
| 82728 |
|
866 |
863 |
$0.00 |
| 90696 |
|
505 |
505 |
$0.00 |
| 82746 |
|
1,129 |
1,123 |
$0.00 |
| 86803 |
|
1,351 |
1,340 |
$0.00 |
| 85652 |
|
259 |
259 |
$0.00 |
| 0513F |
|
478 |
461 |
$0.00 |
| 1034F |
|
27 |
27 |
$0.00 |
| 82043 |
|
3,236 |
3,228 |
$0.00 |
| 85018 |
|
419 |
407 |
$0.00 |
| 87510 |
|
527 |
522 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
206 |
206 |
$0.00 |
| 90619 |
|
98 |
98 |
$0.00 |
| 86701 |
|
62 |
61 |
$0.00 |
| 86140 |
|
101 |
101 |
$0.00 |
| 83550 |
|
133 |
132 |
$0.00 |
| 90677 |
|
76 |
76 |
$0.00 |
| D1330 |
|
517 |
486 |
$0.00 |
| 87081 |
|
38 |
37 |
$0.00 |
| 86710 |
|
184 |
179 |
$0.00 |
| 0134A |
|
38 |
38 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$0.00 |
| 90620 |
|
61 |
61 |
$0.00 |
| 82044 |
|
41 |
41 |
$0.00 |
| 0064A |
|
32 |
32 |
$0.00 |
| 84153 |
|
61 |
61 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$0.00 |
| 83735 |
|
14 |
14 |
$0.00 |
| 87660 |
|
553 |
544 |
$0.00 |
| D1110 |
Prophylaxis - adult |
305 |
305 |
$0.00 |
| 83540 |
|
871 |
808 |
$0.00 |
| 82570 |
|
2,091 |
2,081 |
$0.00 |
| 84439 |
|
1,350 |
1,345 |
$0.00 |
| D1120 |
Prophylaxis - child |
219 |
219 |
$0.00 |
| 90461 |
|
6,502 |
6,490 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
566 |
538 |
$0.00 |
| 87075 |
|
1,084 |
1,070 |
$0.00 |
| 90685 |
|
978 |
978 |
$0.00 |
| 80074 |
|
985 |
983 |
$0.00 |
| 86038 |
|
218 |
216 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
14 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 84403 |
|
51 |
50 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
77 |
74 |
$0.00 |
| 91313 |
|
59 |
59 |
$0.00 |
| 86431 |
|
36 |
36 |
$0.00 |
| 90756 |
|
61 |
61 |
$0.00 |
| D1999 |
|
40 |
28 |
$0.00 |
| 90621 |
|
33 |
33 |
$0.00 |
| 1033F |
|
16 |
16 |
$0.00 |
| D0330 |
Panoramic radiographic image |
15 |
12 |
$0.00 |
| 84146 |
|
14 |
14 |
$0.00 |