| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,111 |
59,796 |
$2.83M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
105,358 |
40,302 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,345 |
34,328 |
$2.31M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23,740 |
22,500 |
$1.97M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29,246 |
27,697 |
$1.66M |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
48,765 |
19,947 |
$1.43M |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
51,266 |
20,950 |
$914K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
3,313 |
3,179 |
$671K |
| 20610 |
|
19,280 |
16,398 |
$573K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,825 |
2,596 |
$341K |
| 97161 |
|
6,123 |
5,825 |
$341K |
| 97162 |
|
5,790 |
5,523 |
$278K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,394 |
10,441 |
$256K |
| 73562 |
|
12,068 |
9,450 |
$217K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,630 |
3,807 |
$190K |
| 73610 |
|
10,124 |
8,769 |
$176K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,996 |
2,706 |
$158K |
| 73110 |
|
7,484 |
6,111 |
$151K |
| 73630 |
|
8,409 |
6,893 |
$140K |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
255 |
228 |
$132K |
| 99215 |
Prolong outpt/office vis |
1,176 |
1,121 |
$128K |
| 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 |
1,401 |
1,346 |
$128K |
| 73030 |
|
7,864 |
6,648 |
$124K |
| 73502 |
|
4,930 |
4,498 |
$100K |
| 73564 |
|
3,826 |
2,808 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,188 |
1,057 |
$94K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12,639 |
11,964 |
$83K |
| 76830 |
Ultrasound, transvaginal |
842 |
828 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
834 |
816 |
$72K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,910 |
1,840 |
$69K |
| 73140 |
|
2,859 |
2,423 |
$54K |
| 72100 |
|
2,608 |
2,533 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
574 |
568 |
$54K |
| 73130 |
|
2,810 |
2,309 |
$53K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,147 |
1,799 |
$51K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
354 |
347 |
$47K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
707 |
649 |
$42K |
| 46600 |
|
571 |
543 |
$40K |
| 73221 |
|
271 |
260 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
11,731 |
10,280 |
$38K |
| 97035 |
|
4,628 |
2,136 |
$37K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,498 |
1,439 |
$35K |
| 99222 |
Initial hospital care, per day, moderate complexity |
427 |
403 |
$33K |
| 99221 |
|
661 |
611 |
$32K |
| 27447 |
|
112 |
60 |
$32K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
467 |
450 |
$30K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
273 |
267 |
$29K |
| 25600 |
|
161 |
159 |
$29K |
| 95886 |
|
507 |
328 |
$28K |
| 20550 |
|
904 |
708 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
299 |
244 |
$21K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
130 |
127 |
$20K |
| 97166 |
|
431 |
395 |
$19K |
| 20605 |
|
686 |
655 |
$19K |
| 72040 |
|
802 |
784 |
$18K |
| 97165 |
|
255 |
250 |
$17K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,485 |
2,263 |
$16K |
| 73560 |
|
876 |
790 |
$16K |
| 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 |
535 |
516 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,060 |
1,023 |
$13K |
| 97016 |
|
1,952 |
827 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
131 |
128 |
$13K |
| 73590 |
|
680 |
586 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
110 |
97 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
664 |
627 |
$11K |
| 29075 |
|
281 |
240 |
$11K |
| 73080 |
|
507 |
442 |
$10K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
640 |
549 |
$10K |
| 97116 |
|
440 |
270 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
601 |
572 |
$9K |
| 73070 |
|
575 |
501 |
$7K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
145 |
145 |
$7K |
| 90715 |
|
195 |
192 |
$6K |
| 72110 |
|
164 |
161 |
$5K |
| 20611 |
|
89 |
79 |
$5K |
| 85018 |
|
2,364 |
2,170 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
69 |
68 |
$5K |
| 81025 |
|
542 |
523 |
$5K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
30 |
28 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
554 |
540 |
$4K |
| 90686 |
|
255 |
254 |
$4K |
| 84439 |
|
496 |
471 |
$4K |
| 72141 |
|
25 |
25 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
58 |
54 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
248 |
$4K |
| 73000 |
|
184 |
164 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
67 |
$3K |
| 95910 |
|
31 |
29 |
$3K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
249 |
209 |
$3K |
| 91120 |
|
13 |
12 |
$3K |
| 96127 |
|
800 |
730 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
304 |
299 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
36 |
$3K |
| 73090 |
|
132 |
95 |
$2K |
| 76818 |
|
25 |
12 |
$2K |
| 96160 |
|
1,014 |
895 |
$2K |
| 92551 |
|
269 |
252 |
$2K |
| 58300 |
|
26 |
25 |
$2K |
| 82950 |
|
386 |
377 |
$2K |
| A4565 |
Slings |
217 |
205 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
73 |
52 |
$2K |
| 91122 |
|
13 |
12 |
$1K |
| 73100 |
|
181 |
151 |
$1K |
| 74270 |
|
15 |
14 |
$1K |
| 95251 |
|
42 |
41 |
$848.60 |
| 76820 |
|
25 |
16 |
$844.75 |
| 76857 |
|
30 |
12 |
$789.59 |
| 84481 |
|
53 |
53 |
$730.35 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
100 |
89 |
$726.01 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
43 |
39 |
$661.49 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$629.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
54 |
$527.15 |
| 76942 |
|
13 |
13 |
$523.46 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
12 |
$515.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
27 |
$505.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$471.24 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
12 |
$374.44 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
12 |
$374.44 |
| 51784 |
|
13 |
12 |
$342.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
49 |
$312.53 |
| L3260 |
Surgical boot/shoe, each |
33 |
30 |
$292.79 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
33 |
30 |
$251.40 |
| Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
17 |
13 |
$230.82 |
| 81002 |
|
62 |
60 |
$214.06 |
| 86140 |
|
60 |
49 |
$194.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
24 |
$154.12 |
| 81003 |
|
48 |
47 |
$107.50 |
| 87070 |
|
12 |
12 |
$82.92 |
| 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) |
15 |
15 |
$37.66 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
129 |
116 |
$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 |
235 |
194 |
$0.00 |
| G8984 |
Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals |
45 |
24 |
$0.00 |
| G8985 |
Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
58 |
37 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |