| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,345 |
27,777 |
$1.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,440 |
14,656 |
$970K |
| 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 |
3,124 |
2,968 |
$245K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,481 |
5,351 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,365 |
1,288 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,676 |
7,436 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,829 |
4,478 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,069 |
1,043 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,043 |
950 |
$54K |
| X5622 |
|
2,484 |
2,130 |
$52K |
| 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 |
1,936 |
1,845 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
653 |
633 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
14,470 |
13,155 |
$37K |
| 91320 |
|
288 |
287 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,288 |
2,239 |
$29K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
62 |
26 |
$25K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
981 |
395 |
$21K |
| 90686 |
|
3,361 |
3,277 |
$20K |
| 92551 |
|
2,962 |
2,868 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
519 |
506 |
$17K |
| 93793 |
|
4,769 |
2,767 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
168 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
498 |
474 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,029 |
1,012 |
$13K |
| 90480 |
|
407 |
383 |
$13K |
| 96127 |
|
3,584 |
3,478 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
188 |
$12K |
| 80061 |
Lipid panel |
997 |
974 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
106 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,706 |
1,631 |
$11K |
| 99188 |
|
1,729 |
1,689 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,079 |
1,059 |
$8K |
| 0004A |
|
290 |
234 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
898 |
840 |
$8K |
| 99215 |
Prolong outpt/office vis |
91 |
80 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,327 |
1,166 |
$7K |
| 85027 |
|
1,365 |
1,323 |
$7K |
| 99173 |
|
2,706 |
2,632 |
$5K |
| 0124A |
|
139 |
137 |
$5K |
| 80053 |
Comprehensive metabolic panel |
469 |
449 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
777 |
721 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
227 |
98 |
$4K |
| 0002A |
|
88 |
88 |
$4K |
| 0071A |
|
88 |
88 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$3K |
| 0072A |
|
84 |
84 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
51 |
50 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
199 |
171 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
78 |
$3K |
| 90670 |
|
461 |
456 |
$2K |
| 81001 |
|
854 |
795 |
$2K |
| 87081 |
|
562 |
538 |
$2K |
| 0001A |
|
50 |
50 |
$2K |
| 90674 |
|
96 |
96 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
41 |
41 |
$1K |
| 90651 |
|
101 |
95 |
$1K |
| 90661 |
|
70 |
70 |
$1K |
| 0054A |
|
29 |
29 |
$1K |
| 90473 |
|
90 |
90 |
$998.51 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
133 |
129 |
$919.73 |
| 97161 |
|
12 |
12 |
$876.82 |
| 90474 |
|
135 |
135 |
$788.01 |
| 64615 |
|
20 |
13 |
$688.42 |
| 80076 |
|
157 |
151 |
$682.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$677.52 |
| 90715 |
|
97 |
93 |
$640.44 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$574.73 |
| 93000 |
|
57 |
54 |
$533.48 |
| 97535 |
Self-care/home management training, each 15 minutes |
29 |
12 |
$515.01 |
| 82248 |
|
104 |
95 |
$491.43 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$304.33 |
| G0008 |
Administration of influenza virus vaccine |
222 |
220 |
$279.88 |
| 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) |
203 |
199 |
$220.32 |
| 82728 |
|
28 |
28 |
$195.90 |
| 86803 |
|
14 |
14 |
$161.52 |
| 84439 |
|
28 |
26 |
$143.39 |
| 90734 |
|
93 |
90 |
$124.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
37 |
$116.35 |
| 90672 |
|
118 |
118 |
$95.00 |
| 96161 |
|
102 |
97 |
$88.39 |
| 87210 |
|
13 |
13 |
$71.37 |
| 82570 |
|
14 |
14 |
$70.04 |
| 82043 |
|
12 |
12 |
$67.16 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
12 |
12 |
$36.85 |
| 85018 |
|
16 |
16 |
$36.78 |
| 99441 |
|
36 |
34 |
$27.36 |
| 90647 |
|
141 |
141 |
$24.25 |
| 90633 |
|
126 |
118 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
43 |
$0.00 |
| 99442 |
|
20 |
20 |
$0.00 |
| 85610 |
|
28 |
12 |
$0.00 |
| 90723 |
|
168 |
164 |
$0.00 |
| 90680 |
|
106 |
106 |
$0.00 |
| 85652 |
|
27 |
25 |
$0.00 |
| 86140 |
|
13 |
12 |
$0.00 |