| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,668 |
15,889 |
$829K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,468 |
18,107 |
$709K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
5,335 |
4,584 |
$692K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,320 |
4,746 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,641 |
4,727 |
$273K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,694 |
11,519 |
$249K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,306 |
3,016 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,035 |
1,893 |
$147K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,553 |
9,552 |
$134K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,223 |
3,380 |
$112K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,587 |
2,366 |
$105K |
| 87428 |
|
1,923 |
1,755 |
$95K |
| 92552 |
|
3,428 |
3,086 |
$74K |
| 99381 |
|
1,335 |
1,189 |
$61K |
| 99383 |
|
878 |
788 |
$57K |
| 69210 |
|
1,541 |
1,314 |
$51K |
| 90677 |
|
1,189 |
1,085 |
$51K |
| 99215 |
Prolong outpt/office vis |
665 |
608 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,831 |
4,295 |
$45K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
107 |
107 |
$43K |
| 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 |
545 |
505 |
$35K |
| 99000 |
|
3,469 |
3,066 |
$33K |
| 99384 |
|
461 |
419 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,512 |
2,316 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
345 |
$29K |
| 90461 |
|
14,784 |
5,731 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
792 |
769 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,013 |
955 |
$24K |
| 90619 |
|
340 |
304 |
$20K |
| 87807 |
|
1,942 |
1,772 |
$20K |
| 99382 |
|
326 |
297 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
315 |
307 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,828 |
1,913 |
$15K |
| 83655 |
|
1,814 |
1,594 |
$13K |
| 97802 |
|
4,153 |
3,869 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
841 |
790 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
743 |
564 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
324 |
$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 |
378 |
350 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
24 |
17 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
371 |
333 |
$5K |
| 96161 |
|
5,476 |
4,584 |
$4K |
| 54450 |
|
81 |
73 |
$4K |
| 95115 |
|
411 |
150 |
$3K |
| 81002 |
|
814 |
732 |
$2K |
| 99050 |
|
222 |
210 |
$2K |
| 85018 |
|
1,286 |
1,138 |
$2K |
| 90670 |
|
3,015 |
2,608 |
$2K |
| 90651 |
|
1,118 |
1,022 |
$1K |
| 92567 |
|
104 |
102 |
$1K |
| 84030 |
|
492 |
397 |
$1K |
| 90680 |
|
2,776 |
2,396 |
$980.21 |
| 90698 |
|
3,061 |
2,643 |
$967.75 |
| 90621 |
|
225 |
207 |
$879.09 |
| 36415 |
Collection of venous blood by venipuncture |
2,584 |
2,167 |
$761.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
320 |
289 |
$752.50 |
| 90710 |
|
1,386 |
1,198 |
$735.03 |
| 94760 |
|
543 |
464 |
$488.77 |
| 90648 |
|
1,108 |
976 |
$361.20 |
| 90744 |
|
2,151 |
1,941 |
$306.05 |
| 90633 |
|
2,307 |
2,033 |
$301.05 |
| 94010 |
|
12 |
12 |
$289.68 |
| 90696 |
|
907 |
784 |
$280.00 |
| 90707 |
|
794 |
690 |
$262.53 |
| 90716 |
|
722 |
630 |
$262.52 |
| 90715 |
|
597 |
509 |
$189.48 |
| 96380 |
|
13 |
13 |
$171.82 |
| 90686 |
|
1,988 |
1,894 |
$146.72 |
| 90713 |
|
120 |
112 |
$120.30 |
| 90700 |
|
1,211 |
1,065 |
$108.07 |
| 69209 |
|
12 |
12 |
$77.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
271 |
247 |
$27.76 |
| 99173 |
|
6,190 |
5,578 |
$17.50 |
| 96160 |
|
13 |
13 |
$11.25 |
| 90734 |
|
514 |
442 |
$0.07 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
81 |
74 |
$0.03 |
| 90688 |
|
442 |
426 |
$0.01 |
| 99441 |
|
32 |
18 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
31 |
31 |
$0.00 |
| 90381 |
|
17 |
15 |
$0.00 |
| 96127 |
|
120 |
90 |
$0.00 |
| 90656 |
|
194 |
194 |
$0.00 |
| A9150 |
Non-prescription drugs |
13 |
13 |
$0.00 |
| 99072 |
|
21,277 |
16,864 |
$0.00 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
31 |
31 |
$0.00 |
| 90380 |
|
21 |
17 |
$0.00 |