| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,784 |
41,274 |
$2.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,941 |
56,806 |
$2.83M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13,159 |
12,737 |
$314K |
| X5622 |
|
4,977 |
4,909 |
$230K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,233 |
12,662 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,676 |
2,589 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,851 |
2,625 |
$155K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,454 |
5,211 |
$154K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,583 |
2,434 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,749 |
1,699 |
$100K |
| 99215 |
Prolong outpt/office vis |
874 |
795 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,470 |
2,353 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,548 |
5,321 |
$76K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,247 |
3,068 |
$73K |
| 36415 |
Collection of venous blood by venipuncture |
24,754 |
21,923 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
941 |
888 |
$53K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,732 |
1,582 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
657 |
627 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
392 |
385 |
$43K |
| 80061 |
Lipid panel |
4,637 |
4,338 |
$41K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,909 |
2,743 |
$37K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,829 |
6,238 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,111 |
5,755 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,421 |
1,259 |
$35K |
| 92551 |
|
6,441 |
6,194 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,956 |
5,435 |
$33K |
| 87428 |
|
565 |
553 |
$26K |
| 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 |
280 |
269 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
296 |
154 |
$25K |
| 96127 |
|
8,063 |
7,697 |
$23K |
| 87510 |
|
1,293 |
1,207 |
$21K |
| 87480 |
|
1,291 |
1,206 |
$21K |
| 87660 |
|
1,289 |
1,204 |
$21K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,225 |
3,007 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,616 |
2,491 |
$19K |
| 90688 |
|
2,336 |
2,282 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
325 |
317 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
241 |
235 |
$17K |
| 99188 |
|
5,023 |
4,884 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,337 |
1,262 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,595 |
1,403 |
$13K |
| 90715 |
|
937 |
856 |
$11K |
| 81025 |
|
1,636 |
1,503 |
$10K |
| 17110 |
|
147 |
127 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
667 |
632 |
$8K |
| 93000 |
|
812 |
749 |
$8K |
| 87276 |
|
653 |
609 |
$7K |
| 90670 |
|
1,462 |
1,403 |
$7K |
| 90474 |
|
756 |
721 |
$7K |
| 80305 |
|
553 |
502 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
119 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
116 |
109 |
$6K |
| 90651 |
|
500 |
456 |
$6K |
| 87275 |
|
653 |
609 |
$5K |
| 99173 |
|
6,260 |
6,029 |
$5K |
| 81001 |
|
2,084 |
1,903 |
$5K |
| 99000 |
|
314 |
301 |
$5K |
| 99490 |
Ccm add 20min |
524 |
494 |
$4K |
| 80076 |
|
655 |
602 |
$4K |
| 85027 |
|
728 |
695 |
$4K |
| 36416 |
|
1,414 |
1,198 |
$4K |
| 84439 |
|
503 |
460 |
$4K |
| 90686 |
|
983 |
951 |
$3K |
| 0002A |
|
184 |
184 |
$3K |
| 0001A |
|
212 |
210 |
$3K |
| 99385 |
|
29 |
26 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
368 |
362 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
104 |
101 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
117 |
113 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
408 |
354 |
$2K |
| 90662 |
|
32 |
29 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
35 |
14 |
$1K |
| 73630 |
|
119 |
104 |
$887.07 |
| 87186 |
|
168 |
160 |
$827.06 |
| 87077 |
|
166 |
159 |
$771.61 |
| 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) |
661 |
611 |
$663.19 |
| 95251 |
|
40 |
38 |
$641.03 |
| 90677 |
|
27 |
26 |
$597.21 |
| 80053 |
Comprehensive metabolic panel |
71 |
66 |
$555.90 |
| 85018 |
|
380 |
348 |
$512.80 |
| 81003 |
|
1,013 |
943 |
$492.13 |
| 82947 |
|
198 |
186 |
$440.97 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
59 |
54 |
$417.68 |
| 86803 |
|
34 |
32 |
$402.12 |
| 90698 |
|
1,257 |
1,196 |
$362.26 |
| 73110 |
|
14 |
12 |
$361.09 |
| 82043 |
|
63 |
61 |
$345.14 |
| 11721 |
|
19 |
17 |
$334.85 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
30 |
25 |
$320.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
20 |
$290.08 |
| 74019 |
|
48 |
41 |
$256.03 |
| 90680 |
|
677 |
631 |
$175.05 |
| 96381 |
|
13 |
12 |
$167.35 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$166.70 |
| 85610 |
|
33 |
27 |
$135.28 |
| 90734 |
|
407 |
369 |
$125.20 |
| 86780 |
|
26 |
24 |
$113.12 |
| 90732 |
|
28 |
27 |
$87.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$72.34 |
| 86140 |
|
12 |
12 |
$71.49 |
| 90656 |
|
73 |
73 |
$70.51 |
| 90687 |
|
68 |
67 |
$38.46 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
14 |
13 |
$25.50 |
| 90685 |
|
254 |
243 |
$22.25 |
| 90633 |
|
604 |
564 |
$0.12 |
| 90697 |
|
69 |
67 |
$0.06 |
| 90710 |
|
116 |
108 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
88 |
49 |
$0.00 |
| 90707 |
|
65 |
61 |
$0.00 |
| 73610 |
|
15 |
13 |
$0.00 |
| 90744 |
|
487 |
450 |
$0.00 |
| 90696 |
|
100 |
94 |
$0.00 |
| 96161 |
|
83 |
79 |
$0.00 |
| 90716 |
|
53 |
50 |
$0.00 |
| 99459 |
|
17 |
17 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$0.00 |