| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96,512 |
86,925 |
$8.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,961 |
51,931 |
$3.49M |
| 90832 |
Psychotherapy, 30 minutes with patient |
16,473 |
13,369 |
$784K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,532 |
5,447 |
$675K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,916 |
4,867 |
$622K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,799 |
5,705 |
$515K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,723 |
6,283 |
$487K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
5,513 |
5,113 |
$441K |
| 80053 |
Comprehensive metabolic panel |
16,626 |
15,602 |
$398K |
| 87428 |
|
6,877 |
6,589 |
$393K |
| 80055 |
|
2,765 |
2,525 |
$393K |
| 80061 |
Lipid panel |
9,126 |
8,626 |
$322K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,401 |
4,377 |
$314K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,857 |
17,756 |
$274K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,678 |
6,317 |
$272K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,708 |
1,546 |
$269K |
| 80306 |
|
9,682 |
7,862 |
$263K |
| V2020 |
Frames, purchases |
10,787 |
10,257 |
$253K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,446 |
1,317 |
$230K |
| 92015 |
Determination of refractive state |
12,335 |
12,039 |
$204K |
| 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 |
7,269 |
6,440 |
$198K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,671 |
6,268 |
$197K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,819 |
2,583 |
$195K |
| 99215 |
Prolong outpt/office vis |
1,369 |
1,223 |
$174K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,402 |
5,305 |
$164K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,787 |
3,572 |
$158K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,393 |
1,399 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,016 |
1,996 |
$146K |
| 99460 |
|
1,583 |
1,520 |
$125K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,844 |
1,671 |
$125K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,646 |
1,370 |
$121K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
850 |
833 |
$120K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,118 |
1,095 |
$109K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,860 |
1,649 |
$96K |
| 59025 |
Fetal non-stress test |
2,923 |
1,538 |
$95K |
| 76801 |
|
805 |
683 |
$89K |
| 86803 |
|
2,971 |
2,738 |
$88K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,171 |
1,122 |
$83K |
| 90791 |
Psychiatric diagnostic evaluation |
560 |
512 |
$81K |
| 87806 |
|
1,381 |
1,241 |
$80K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,399 |
953 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,717 |
5,498 |
$80K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,247 |
1,191 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
733 |
662 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,967 |
5,427 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,164 |
1,077 |
$54K |
| 90837 |
Psychotherapy, 53 minutes with patient |
596 |
408 |
$52K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,041 |
801 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
803 |
769 |
$43K |
| 59430 |
|
236 |
235 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,042 |
1,323 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
467 |
458 |
$33K |
| 99349 |
|
310 |
283 |
$32K |
| 87340 |
|
995 |
879 |
$31K |
| 86762 |
|
535 |
464 |
$29K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
956 |
496 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
374 |
337 |
$24K |
| 84439 |
|
1,165 |
1,123 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,116 |
1,063 |
$24K |
| 82607 |
|
507 |
487 |
$23K |
| 99429 |
|
1,170 |
1,132 |
$21K |
| 99381 |
|
303 |
299 |
$21K |
| 86592 |
|
1,393 |
1,310 |
$19K |
| 72100 |
|
755 |
715 |
$16K |
| 99205 |
Prolong outpt/office vis |
93 |
88 |
$15K |
| 92526 |
|
221 |
116 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
616 |
405 |
$12K |
| 76813 |
|
120 |
117 |
$10K |
| 84702 |
|
316 |
262 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
203 |
155 |
$9K |
| 99348 |
|
131 |
123 |
$9K |
| 82950 |
|
1,760 |
1,720 |
$9K |
| 76820 |
|
167 |
85 |
$8K |
| 99383 |
|
99 |
96 |
$8K |
| 81003 |
|
2,887 |
1,944 |
$8K |
| 92523 |
|
81 |
81 |
$7K |
| 87807 |
|
596 |
583 |
$7K |
| 86705 |
|
380 |
338 |
$7K |
| 87653 |
|
211 |
207 |
$6K |
| 73562 |
|
382 |
285 |
$6K |
| 83655 |
|
548 |
542 |
$6K |
| 80074 |
|
63 |
61 |
$5K |
| 85018 |
|
2,079 |
2,065 |
$5K |
| 87077 |
|
566 |
558 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
38 |
25 |
$4K |
| 87276 |
|
215 |
203 |
$3K |
| 97165 |
|
91 |
91 |
$3K |
| 87275 |
|
216 |
204 |
$3K |
| 84480 |
|
73 |
70 |
$3K |
| 72040 |
|
156 |
150 |
$3K |
| 99384 |
|
28 |
26 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
111 |
67 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
100 |
93 |
$2K |
| 99409 |
|
62 |
58 |
$2K |
| 92250 |
|
36 |
29 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
70 |
39 |
$2K |
| 54150 |
|
13 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
14 |
$1K |
| 82570 |
|
65 |
61 |
$1K |
| 99382 |
|
14 |
14 |
$1K |
| 87808 |
|
31 |
26 |
$920.00 |
| 92610 |
|
13 |
12 |
$782.04 |
| 36415 |
Collection of venous blood by venipuncture |
1,067 |
957 |
$755.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$734.20 |
| 82044 |
|
65 |
61 |
$664.65 |
| 87905 |
|
40 |
39 |
$529.08 |
| 81015 |
|
67 |
65 |
$387.51 |
| 82951 |
|
28 |
28 |
$353.27 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$336.84 |
| 73502 |
|
16 |
13 |
$318.59 |
| 72072 |
|
16 |
13 |
$292.92 |
| 73130 |
|
15 |
12 |
$260.48 |
| 81001 |
|
24 |
24 |
$225.38 |
| 73030 |
|
12 |
12 |
$208.23 |
| 73630 |
|
19 |
13 |
$184.31 |
| 73610 |
|
13 |
12 |
$175.29 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$119.76 |
| 86580 |
|
15 |
14 |
$115.63 |
| 85027 |
|
13 |
13 |
$102.87 |
| 82952 |
|
25 |
25 |
$102.72 |
| 99173 |
|
12 |
12 |
$75.00 |
| 85007 |
|
13 |
13 |
$51.84 |
| 3044F |
|
505 |
499 |
$0.01 |
| 3078F |
|
1,607 |
1,481 |
$0.00 |
| 1159F |
|
2,301 |
2,131 |
$0.00 |
| 1160F |
|
2,301 |
2,131 |
$0.00 |
| 3077F |
|
32 |
29 |
$0.00 |
| 4004F |
|
816 |
772 |
$0.00 |
| 4274F |
|
29 |
25 |
$0.00 |
| 2010F |
|
2,861 |
2,652 |
$0.00 |
| 3008F |
|
2,766 |
2,566 |
$0.00 |
| 1034F |
|
506 |
466 |
$0.00 |
| 2000F |
|
2,727 |
2,530 |
$0.00 |
| 1036F |
|
1,363 |
1,248 |
$0.00 |
| 1125F |
|
865 |
795 |
$0.00 |
| 2001F |
|
2,792 |
2,590 |
$0.00 |
| 3351F |
|
1,014 |
940 |
$0.00 |
| 3074F |
|
1,842 |
1,717 |
$0.00 |
| 1126F |
|
487 |
465 |
$0.00 |
| 3079F |
|
395 |
374 |
$0.00 |
| 4010F |
|
144 |
125 |
$0.00 |
| 99406 |
|
44 |
38 |
$0.00 |
| 3075F |
|
73 |
71 |
$0.00 |
| 80050 |
General health panel |
28 |
28 |
$0.00 |
| 3352F |
|
15 |
13 |
$0.00 |