| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,742 |
56,987 |
$2.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42,945 |
39,466 |
$2.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,241 |
16,201 |
$1.10M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,157 |
7,605 |
$737K |
| 99215 |
Prolong outpt/office vis |
4,164 |
3,959 |
$338K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,264 |
11,041 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,878 |
4,761 |
$311K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20,581 |
18,043 |
$304K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,101 |
7,750 |
$283K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,297 |
3,256 |
$223K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,695 |
9,454 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,079 |
3,951 |
$210K |
| 36415 |
Collection of venous blood by venipuncture |
56,017 |
49,284 |
$207K |
| X5622 |
|
5,027 |
4,412 |
$207K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,898 |
2,872 |
$196K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,342 |
2,311 |
$168K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,688 |
4,569 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,572 |
2,498 |
$141K |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,377 |
10,096 |
$133K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,374 |
12,011 |
$122K |
| 87631 |
|
836 |
811 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,219 |
16,302 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,304 |
1,270 |
$103K |
| 80061 |
Lipid panel |
9,854 |
9,720 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,286 |
1,268 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,177 |
1,155 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,155 |
3,058 |
$88K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,425 |
11,262 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,146 |
1,133 |
$83K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,429 |
1,370 |
$78K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,367 |
851 |
$77K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,011 |
1,968 |
$72K |
| 99223 |
Prolong inpt eval add15 m |
655 |
611 |
$66K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
10,447 |
9,819 |
$64K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,777 |
1,766 |
$59K |
| 92015 |
Determination of refractive state |
5,260 |
5,142 |
$57K |
| 90686 |
|
9,375 |
9,190 |
$56K |
| 87660 |
|
3,257 |
3,133 |
$56K |
| 87480 |
|
3,257 |
3,133 |
$56K |
| 87510 |
|
3,252 |
3,129 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,258 |
2,177 |
$49K |
| 80053 |
Comprehensive metabolic panel |
6,114 |
5,840 |
$49K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
354 |
347 |
$48K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
42 |
$48K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
365 |
360 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
447 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
566 |
524 |
$38K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
561 |
557 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
3,866 |
3,626 |
$35K |
| 82728 |
|
2,715 |
2,654 |
$32K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
770 |
724 |
$31K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
635 |
597 |
$31K |
| 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 |
445 |
435 |
$31K |
| 90715 |
|
1,940 |
1,918 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,300 |
3,069 |
$30K |
| 90651 |
|
1,384 |
1,374 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,338 |
1,247 |
$28K |
| 85027 |
|
4,807 |
4,647 |
$27K |
| 0002A |
|
852 |
843 |
$27K |
| 80050 |
General health panel |
570 |
565 |
$26K |
| 0001A |
|
833 |
811 |
$24K |
| 20610 |
|
761 |
616 |
$24K |
| 90670 |
|
3,454 |
3,368 |
$23K |
| 92341 |
|
918 |
889 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
216 |
215 |
$23K |
| 90750 |
|
225 |
221 |
$23K |
| 0240U |
|
151 |
147 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
198 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,410 |
2,047 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,851 |
3,841 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
415 |
407 |
$17K |
| 99243 |
|
262 |
256 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,391 |
2,296 |
$16K |
| 99188 |
|
1,251 |
1,243 |
$16K |
| 99442 |
|
370 |
359 |
$15K |
| 90461 |
|
2,951 |
2,866 |
$15K |
| 76801 |
|
194 |
188 |
$15K |
| 99177 |
|
287 |
287 |
$14K |
| 82565 |
|
3,626 |
3,269 |
$13K |
| 81001 |
|
5,389 |
5,133 |
$13K |
| 82570 |
|
2,961 |
2,816 |
$13K |
| 99443 |
|
216 |
204 |
$12K |
| 99460 |
|
235 |
232 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
209 |
199 |
$12K |
| 76830 |
Ultrasound, transvaginal |
218 |
211 |
$12K |
| 81025 |
|
1,609 |
1,550 |
$12K |
| 84702 |
|
860 |
669 |
$12K |
| 93000 |
|
1,326 |
1,299 |
$12K |
| 82043 |
|
2,616 |
2,571 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
210 |
204 |
$11K |
| 17110 |
|
221 |
210 |
$11K |
| 85610 |
|
3,849 |
2,268 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,853 |
1,588 |
$10K |
| 86140 |
|
1,907 |
1,847 |
$9K |
| 84439 |
|
1,100 |
1,070 |
$9K |
| 59025 |
Fetal non-stress test |
575 |
355 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
66 |
66 |
$8K |
| 0004A |
|
236 |
236 |
$8K |
| 81003 |
|
4,105 |
3,984 |
$8K |
| 90662 |
|
303 |
302 |
$8K |
| 82947 |
|
2,424 |
2,352 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
162 |
160 |
$8K |
| 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 |
356 |
348 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
115 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
130 |
$7K |
| 90732 |
|
93 |
93 |
$7K |
| 84460 |
|
1,559 |
1,465 |
$7K |
| 90677 |
|
35 |
35 |
$6K |
| 84450 |
|
1,623 |
1,548 |
$6K |
| 92567 |
|
687 |
679 |
$6K |
| 0064A |
|
245 |
243 |
$6K |
| 84153 |
|
328 |
323 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
225 |
203 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
653 |
576 |
$5K |
| 73630 |
|
536 |
484 |
$5K |
| 36416 |
|
2,302 |
1,950 |
$5K |
| 73030 |
|
429 |
382 |
$5K |
| 0012A |
|
187 |
187 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
68 |
65 |
$5K |
| 85018 |
|
2,223 |
2,186 |
$5K |
| 0072A |
|
118 |
118 |
$4K |
| 0071A |
|
110 |
110 |
$4K |
| 0124A |
|
143 |
139 |
$4K |
| 0054A |
|
130 |
130 |
$4K |
| 73610 |
|
476 |
446 |
$4K |
| 99496 |
|
39 |
37 |
$4K |
| 73562 |
|
228 |
185 |
$4K |
| 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) |
1,610 |
1,539 |
$4K |
| 84132 |
|
1,102 |
1,005 |
$4K |
| 92557 |
|
173 |
170 |
$4K |
| 99242 |
|
65 |
63 |
$4K |
| 92551 |
|
484 |
480 |
$3K |
| 0011A |
|
163 |
163 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
1,040 |
1,021 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
112 |
105 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
112 |
112 |
$3K |
| 90734 |
|
1,040 |
1,030 |
$3K |
| 82950 |
|
615 |
609 |
$3K |
| 73130 |
|
196 |
165 |
$2K |
| 91322 |
|
46 |
46 |
$2K |
| 83735 |
|
545 |
429 |
$2K |
| 99441 |
|
79 |
79 |
$2K |
| 90656 |
|
361 |
361 |
$2K |
| 0134A |
|
79 |
79 |
$2K |
| 73564 |
|
115 |
93 |
$2K |
| 83880 |
|
61 |
59 |
$2K |
| 83690 |
|
314 |
307 |
$2K |
| 82040 |
|
389 |
373 |
$1K |
| 72100 |
|
98 |
97 |
$1K |
| 73110 |
|
99 |
89 |
$1K |
| 97803 |
|
33 |
25 |
$1K |
| 99462 |
|
51 |
39 |
$1K |
| 90480 |
|
47 |
47 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
235 |
$1K |
| 73502 |
|
97 |
95 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
58 |
37 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$1K |
| 90707 |
|
486 |
478 |
$1K |
| 90716 |
|
505 |
497 |
$1K |
| 76642 |
|
16 |
14 |
$958.74 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
24 |
$920.09 |
| 87070 |
|
204 |
195 |
$893.54 |
| 93976 |
|
12 |
12 |
$834.82 |
| 51798 |
|
170 |
165 |
$822.17 |
| 80076 |
|
116 |
111 |
$815.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
138 |
107 |
$776.39 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14 |
13 |
$737.81 |
| 95886 |
|
12 |
12 |
$689.11 |
| 92134 |
|
33 |
32 |
$680.74 |
| 84156 |
|
207 |
193 |
$635.95 |
| 90710 |
|
554 |
551 |
$578.70 |
| 82248 |
|
134 |
120 |
$519.30 |
| 93971 |
|
12 |
12 |
$468.36 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$426.16 |
| 99173 |
|
261 |
260 |
$388.73 |
| 90620 |
|
12 |
12 |
$372.84 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$366.96 |
| 71250 |
|
15 |
14 |
$354.66 |
| 90697 |
|
193 |
193 |
$353.25 |
| 0003A |
|
13 |
13 |
$346.05 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$314.96 |
| 82247 |
|
67 |
62 |
$299.75 |
| 90474 |
|
33 |
33 |
$284.83 |
| 84295 |
|
73 |
70 |
$276.07 |
| 95251 |
|
12 |
12 |
$249.09 |
| 73140 |
|
14 |
12 |
$235.67 |
| 82310 |
|
69 |
67 |
$217.24 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
29 |
$165.15 |
| 85652 |
|
79 |
78 |
$154.70 |
| 69209 |
|
13 |
12 |
$127.04 |
| 90696 |
|
446 |
443 |
$126.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
112 |
103 |
$112.47 |
| 80051 |
|
12 |
12 |
$96.87 |
| 99201 |
|
29 |
29 |
$68.42 |
| 96127 |
|
26 |
25 |
$39.04 |
| 90698 |
|
3,099 |
3,025 |
$11.70 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$6.47 |
| 3074F |
|
25,982 |
23,746 |
$0.00 |
| 3079F |
|
5,089 |
4,814 |
$0.00 |
| 91306 |
|
109 |
107 |
$0.00 |
| 90744 |
|
1,330 |
1,308 |
$0.00 |
| 90680 |
|
1,921 |
1,889 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
357 |
317 |
$0.00 |
| 3052F |
|
451 |
318 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,704 |
1,666 |
$0.00 |
| 91305 |
|
197 |
195 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
9,485 |
7,299 |
$0.00 |
| 97802 |
|
39 |
38 |
$0.00 |
| 3044F |
|
1,425 |
1,119 |
$0.00 |
| 3075F |
|
2,958 |
2,797 |
$0.00 |
| 3080F |
|
869 |
819 |
$0.00 |
| 91301 |
|
282 |
260 |
$0.00 |
| 91307 |
|
281 |
260 |
$0.00 |
| 1123F |
|
532 |
364 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
165 |
$0.00 |
| 74019 |
|
26 |
24 |
$0.00 |
| 1111F |
|
81 |
66 |
$0.00 |
| V5008 |
Hearing screening |
12 |
12 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 99024 |
|
17 |
12 |
$0.00 |
| 99493 |
|
24 |
24 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$0.00 |
| 3078F |
|
22,379 |
20,346 |
$0.00 |
| 1159F |
|
51 |
50 |
$0.00 |
| 91300 |
|
2,034 |
1,891 |
$0.00 |
| 3077F |
|
1,571 |
1,461 |
$0.00 |
| 90633 |
|
1,508 |
1,493 |
$0.00 |
| 0502F |
|
2,185 |
1,645 |
$0.00 |
| 90685 |
|
602 |
554 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
88 |
67 |
$0.00 |
| 3046F |
|
464 |
333 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
13 |
13 |
$0.00 |
| 3051F |
|
463 |
349 |
$0.00 |
| 74018 |
|
18 |
18 |
$0.00 |
| 99354 |
|
18 |
12 |
$0.00 |
| 82374 |
|
12 |
12 |
$0.00 |
| 91312 |
|
88 |
86 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$0.00 |
| 91313 |
|
37 |
37 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 84520 |
|
14 |
13 |
$0.00 |