| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
13,257 |
10,430 |
$140K |
| G9012 |
Other specified case management service not elsewhere classified |
2,508 |
1,488 |
$119K |
| 0510 |
|
573 |
512 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,479 |
2,415 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,450 |
2,386 |
$8K |
| 99221 |
|
172 |
153 |
$3K |
| 0516 |
|
179 |
159 |
$3K |
| 86703 |
|
3,279 |
3,230 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
1,201 |
1,172 |
$2K |
| 80061 |
Lipid panel |
7,402 |
7,300 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
201 |
189 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,339 |
9,178 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,489 |
3,431 |
$2K |
| 0761 |
|
45 |
41 |
$2K |
| 80053 |
Comprehensive metabolic panel |
6,605 |
6,285 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,983 |
9,703 |
$1K |
| 86480 |
|
410 |
401 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
270 |
254 |
$985.70 |
| 86780 |
|
603 |
580 |
$936.31 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
111 |
106 |
$855.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,433 |
3,375 |
$833.88 |
| 86593 |
|
1,612 |
1,583 |
$787.27 |
| 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 |
500 |
488 |
$750.00 |
| 82274 |
|
2,507 |
2,471 |
$594.39 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,144 |
3,908 |
$541.13 |
| 87536 |
|
111 |
111 |
$517.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,209 |
1,142 |
$506.74 |
| 85027 |
|
4,052 |
3,949 |
$407.42 |
| 82043 |
|
3,198 |
3,116 |
$387.82 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,319 |
3,228 |
$370.49 |
| 82540 |
|
3,198 |
3,116 |
$308.12 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
885 |
515 |
$303.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,314 |
2,263 |
$272.46 |
| 90686 |
|
424 |
421 |
$233.25 |
| 87340 |
|
615 |
606 |
$228.27 |
| 80305 |
|
257 |
253 |
$220.06 |
| 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 |
438 |
426 |
$200.00 |
| 84439 |
|
1,319 |
1,283 |
$176.23 |
| 82607 |
|
969 |
957 |
$172.91 |
| 81001 |
|
1,791 |
1,726 |
$160.03 |
| 99443 |
|
1,402 |
1,353 |
$152.35 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
25 |
25 |
$151.77 |
| 88187 |
|
164 |
159 |
$131.18 |
| 99442 |
|
2,059 |
1,992 |
$130.88 |
| 86706 |
|
247 |
243 |
$104.26 |
| 71046 |
Radiologic examination, chest; 2 views |
291 |
287 |
$95.42 |
| 99441 |
|
981 |
934 |
$88.90 |
| 84460 |
|
903 |
888 |
$84.91 |
| 84450 |
|
1,294 |
1,279 |
$81.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
277 |
$71.31 |
| 83540 |
|
568 |
560 |
$67.50 |
| 82746 |
|
288 |
284 |
$67.06 |
| 83550 |
|
440 |
433 |
$53.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,502 |
4,341 |
$52.47 |
| 82728 |
|
293 |
285 |
$50.04 |
| 82947 |
|
1,231 |
1,217 |
$45.91 |
| 97010 |
|
157 |
98 |
$38.96 |
| 87186 |
|
12 |
12 |
$38.69 |
| 84481 |
|
135 |
132 |
$37.33 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,498 |
2,454 |
$37.13 |
| 84153 |
|
218 |
216 |
$32.38 |
| 81003 |
|
657 |
634 |
$27.41 |
| 4450F |
|
4,339 |
4,218 |
$23.54 |
| 85652 |
|
426 |
417 |
$16.84 |
| 85610 |
|
630 |
599 |
$16.66 |
| 86140 |
|
307 |
298 |
$14.59 |
| 86901 |
|
42 |
39 |
$14.55 |
| 86850 |
|
42 |
39 |
$13.56 |
| 87338 |
|
107 |
105 |
$12.66 |
| 86900 |
|
42 |
39 |
$12.34 |
| 86705 |
|
24 |
24 |
$10.27 |
| 81025 |
|
12 |
12 |
$8.34 |
| 80076 |
|
120 |
120 |
$6.32 |
| 82248 |
|
53 |
52 |
$4.37 |
| 36415 |
Collection of venous blood by venipuncture |
17,596 |
16,296 |
$3.00 |
| 90715 |
|
63 |
63 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,581 |
8,421 |
$0.00 |
| 99201 |
|
49 |
48 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
198 |
197 |
$0.00 |
| 98960 |
|
13 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
127 |
127 |
$0.00 |
| G9920 |
Screening performed and negative |
63 |
63 |
$0.00 |
| 3078F |
|
2,247 |
2,025 |
$0.00 |
| 90750 |
|
139 |
139 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
410 |
399 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
315 |
312 |
$0.00 |
| 3051F |
|
206 |
205 |
$0.00 |
| 3077F |
|
623 |
559 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
25 |
25 |
$0.00 |
| 91300 |
|
122 |
116 |
$0.00 |
| 3046F |
|
150 |
149 |
$0.00 |
| 85007 |
|
30 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$0.00 |
| 84100 |
|
121 |
114 |
$0.00 |
| 82565 |
|
124 |
122 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
62 |
$0.00 |
| 98966 |
|
112 |
111 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
21 |
$0.00 |
| 77080 |
|
13 |
13 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| 81002 |
|
43 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 97161 |
|
12 |
12 |
$0.00 |
| 73030 |
|
14 |
14 |
$0.00 |
| 90653 |
|
26 |
26 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$0.00 |
| 90656 |
|
100 |
100 |
$0.00 |
| 99406 |
|
15 |
12 |
$0.00 |
| 1220F |
|
2,583 |
2,530 |
$0.00 |
| 73564 |
|
19 |
18 |
$0.00 |
| 92250 |
|
312 |
311 |
$0.00 |
| 86592 |
|
486 |
484 |
$0.00 |
| 94760 |
|
656 |
642 |
$0.00 |
| 92227 |
|
271 |
269 |
$0.00 |
| 81000 |
|
182 |
173 |
$0.00 |
| 91306 |
|
52 |
52 |
$0.00 |
| 87088 |
|
144 |
139 |
$0.00 |
| 3052F |
|
71 |
70 |
$0.00 |
| 1111F |
|
688 |
638 |
$0.00 |
| 99386 |
|
27 |
26 |
$0.00 |
| 3075F |
|
588 |
556 |
$0.00 |
| 91301 |
|
43 |
42 |
$0.00 |
| 3080F |
|
203 |
192 |
$0.00 |
| 3079F |
|
539 |
510 |
$0.00 |
| 3074F |
|
1,578 |
1,424 |
$0.00 |
| 3044F |
|
871 |
864 |
$0.00 |
| 83735 |
|
88 |
80 |
$0.00 |
| 99606 |
|
86 |
84 |
$0.00 |
| 99385 |
|
47 |
47 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
62 |
$0.00 |
| 92551 |
|
33 |
33 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$0.00 |
| 20610 |
|
40 |
38 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
21 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
24 |
24 |
$0.00 |
| 0064A |
|
33 |
33 |
$0.00 |
| 92002 |
|
17 |
17 |
$0.00 |
| 98967 |
|
12 |
12 |
$0.00 |