| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105,399 |
94,495 |
$7.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,917 |
77,574 |
$4.22M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,912 |
26,401 |
$762K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,667 |
10,511 |
$746K |
| 99215 |
Prolong outpt/office vis |
7,561 |
7,026 |
$678K |
| X5622 |
|
11,601 |
11,110 |
$635K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,601 |
9,399 |
$558K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,444 |
4,296 |
$435K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,508 |
5,419 |
$424K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,270 |
6,167 |
$419K |
| 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 |
5,021 |
4,887 |
$408K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,164 |
3,836 |
$401K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,810 |
5,594 |
$349K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,661 |
3,591 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,105 |
3,044 |
$229K |
| 36415 |
Collection of venous blood by venipuncture |
62,049 |
57,056 |
$211K |
| 90791 |
Psychiatric diagnostic evaluation |
1,794 |
1,715 |
$188K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,932 |
1,670 |
$143K |
| 92015 |
Determination of refractive state |
11,787 |
11,565 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,956 |
3,750 |
$133K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
37,625 |
37,066 |
$132K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,163 |
5,047 |
$131K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
2,605 |
2,129 |
$130K |
| 80061 |
Lipid panel |
11,684 |
11,362 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,528 |
1,486 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,918 |
4,834 |
$111K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,571 |
7,367 |
$110K |
| 99188 |
|
12,998 |
12,880 |
$109K |
| 92551 |
|
18,461 |
18,080 |
$108K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,319 |
12,880 |
$102K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,291 |
1,242 |
$102K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,107 |
8,801 |
$99K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,688 |
2,619 |
$98K |
| 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 |
3,968 |
3,883 |
$92K |
| 99233 |
Prolong inpt eval add15 m |
1,341 |
674 |
$82K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
5,644 |
5,466 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,779 |
855 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,121 |
3,015 |
$71K |
| 0002A |
|
2,529 |
2,522 |
$67K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,227 |
1,145 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,806 |
10,135 |
$66K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,320 |
2,240 |
$65K |
| 0001A |
|
2,596 |
2,580 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,185 |
2,104 |
$61K |
| 90686 |
|
15,551 |
15,227 |
$59K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,666 |
8,333 |
$57K |
| V2020 |
Frames, purchases |
2,046 |
1,865 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,360 |
5,177 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
3,073 |
2,839 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,341 |
4,317 |
$28K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
184 |
182 |
$27K |
| 80053 |
Comprehensive metabolic panel |
3,093 |
2,998 |
$26K |
| 99243 |
|
416 |
409 |
$26K |
| 92341 |
|
947 |
937 |
$25K |
| 0054A |
|
650 |
614 |
$25K |
| 90651 |
|
1,608 |
1,565 |
$24K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,038 |
1,010 |
$21K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,040 |
2,918 |
$21K |
| 99177 |
|
4,000 |
3,963 |
$20K |
| 0004A |
|
635 |
600 |
$19K |
| 20610 |
|
534 |
447 |
$19K |
| 0071A |
|
428 |
410 |
$17K |
| 99255 |
|
129 |
121 |
$17K |
| 81001 |
|
6,184 |
5,847 |
$16K |
| 82565 |
|
3,670 |
3,496 |
$15K |
| 93793 |
|
2,012 |
1,122 |
$15K |
| 73630 |
|
929 |
704 |
$15K |
| 90670 |
|
6,620 |
6,508 |
$15K |
| 96127 |
|
4,011 |
3,945 |
$15K |
| 0072A |
|
360 |
352 |
$15K |
| 82728 |
|
1,157 |
1,145 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,743 |
1,544 |
$14K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
529 |
510 |
$13K |
| 99173 |
|
15,835 |
15,496 |
$13K |
| 84439 |
|
1,596 |
1,559 |
$13K |
| 83655 |
|
1,272 |
1,264 |
$12K |
| 99205 |
Prolong outpt/office vis |
106 |
104 |
$12K |
| 80050 |
General health panel |
224 |
222 |
$11K |
| 87081 |
|
3,106 |
3,015 |
$11K |
| 86803 |
|
836 |
819 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
318 |
269 |
$11K |
| 0124A |
|
306 |
292 |
$10K |
| 97803 |
|
253 |
250 |
$10K |
| 85027 |
|
1,709 |
1,671 |
$10K |
| 85018 |
|
4,786 |
4,701 |
$10K |
| 73562 |
|
353 |
270 |
$10K |
| 86480 |
|
179 |
165 |
$10K |
| 81025 |
|
1,514 |
1,443 |
$9K |
| 99495 |
|
65 |
65 |
$9K |
| 90785 |
|
854 |
514 |
$9K |
| 99607 |
|
131 |
121 |
$9K |
| 36416 |
|
3,607 |
3,327 |
$9K |
| 82607 |
|
638 |
632 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
80 |
77 |
$8K |
| 80076 |
|
1,081 |
1,046 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
66 |
66 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
1,278 |
1,175 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
224 |
214 |
$7K |
| 84132 |
|
1,860 |
1,767 |
$7K |
| 95251 |
|
390 |
373 |
$7K |
| 93000 |
|
893 |
865 |
$7K |
| 82947 |
|
2,361 |
2,270 |
$7K |
| 90715 |
|
995 |
977 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
961 |
918 |
$7K |
| 87210 |
|
1,588 |
1,527 |
$6K |
| 84460 |
|
1,534 |
1,492 |
$6K |
| 90480 |
|
247 |
244 |
$6K |
| 90694 |
|
208 |
196 |
$6K |
| 86140 |
|
1,179 |
1,144 |
$6K |
| 90656 |
|
771 |
770 |
$5K |
| 82043 |
|
992 |
981 |
$5K |
| 91322 |
|
45 |
41 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
792 |
391 |
$5K |
| 86780 |
|
409 |
398 |
$5K |
| 85610 |
|
1,275 |
830 |
$4K |
| 99460 |
|
77 |
70 |
$4K |
| 90653 |
|
206 |
191 |
$4K |
| 92567 |
|
547 |
518 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
56 |
54 |
$4K |
| 90716 |
|
2,622 |
2,602 |
$4K |
| 0082A |
|
106 |
88 |
$4K |
| 90691 |
|
382 |
370 |
$4K |
| 83540 |
|
519 |
513 |
$3K |
| 99383 |
|
35 |
35 |
$3K |
| 73030 |
|
201 |
173 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
59 |
53 |
$3K |
| 84295 |
|
780 |
751 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
588 |
557 |
$3K |
| 99384 |
|
32 |
30 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
326 |
175 |
$3K |
| 99605 |
|
51 |
50 |
$3K |
| 80047 |
|
222 |
217 |
$3K |
| 0052A |
|
68 |
68 |
$3K |
| 81514 |
|
12 |
12 |
$3K |
| 87186 |
|
448 |
402 |
$3K |
| 0051A |
|
66 |
66 |
$3K |
| 92557 |
|
119 |
113 |
$3K |
| 90717 |
|
219 |
204 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
50 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
24 |
$3K |
| 81003 |
|
1,434 |
1,399 |
$3K |
| 84450 |
|
609 |
597 |
$2K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
121 |
121 |
$2K |
| 94060 |
|
115 |
112 |
$2K |
| 72100 |
|
82 |
78 |
$2K |
| 90707 |
|
2,213 |
2,197 |
$2K |
| 99385 |
|
29 |
27 |
$2K |
| 87481 |
|
56 |
54 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
56 |
54 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$2K |
| 73610 |
|
147 |
128 |
$2K |
| 17110 |
|
25 |
24 |
$2K |
| 82310 |
|
394 |
381 |
$2K |
| 83550 |
|
204 |
203 |
$2K |
| 85652 |
|
744 |
728 |
$2K |
| 87340 |
|
161 |
159 |
$2K |
| 87338 |
|
105 |
105 |
$2K |
| 90732 |
|
16 |
16 |
$1K |
| 0081A |
|
43 |
35 |
$1K |
| 90734 |
|
1,393 |
1,371 |
$1K |
| 99442 |
|
353 |
290 |
$1K |
| 87077 |
|
192 |
153 |
$1K |
| 73560 |
|
98 |
78 |
$1K |
| 82435 |
|
354 |
342 |
$1K |
| 84520 |
|
393 |
381 |
$1K |
| 0154A |
|
31 |
27 |
$1K |
| 94010 |
|
68 |
62 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
182 |
174 |
$1K |
| 87088 |
|
164 |
160 |
$1K |
| 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) |
83 |
76 |
$882.46 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
39 |
39 |
$856.91 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$812.33 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
12 |
$802.02 |
| 83718 |
|
137 |
131 |
$744.21 |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
24 |
$731.37 |
| 82248 |
|
168 |
166 |
$697.40 |
| 99443 |
|
99 |
94 |
$679.75 |
| 86762 |
|
66 |
53 |
$672.02 |
| 82247 |
|
130 |
109 |
$617.70 |
| 99401 |
|
216 |
206 |
$612.66 |
| 86735 |
|
67 |
53 |
$609.38 |
| 73120 |
|
28 |
13 |
$608.01 |
| 86765 |
|
66 |
53 |
$601.70 |
| 86787 |
|
66 |
53 |
$601.70 |
| 96380 |
|
39 |
39 |
$595.32 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$581.79 |
| 90723 |
|
5,309 |
5,195 |
$575.13 |
| 0083A |
|
13 |
13 |
$557.38 |
| 0074A |
|
14 |
12 |
$499.24 |
| 83690 |
|
69 |
65 |
$473.62 |
| 82465 |
|
152 |
146 |
$464.74 |
| 77080 |
|
15 |
14 |
$425.70 |
| 86704 |
|
53 |
41 |
$412.04 |
| 74019 |
|
15 |
15 |
$400.32 |
| 94729 |
|
17 |
16 |
$380.61 |
| 86706 |
|
54 |
42 |
$378.57 |
| 92133 |
|
14 |
14 |
$372.98 |
| 99402 |
|
93 |
87 |
$360.61 |
| 92370 |
|
26 |
26 |
$342.80 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
37 |
36 |
$332.38 |
| 0003A |
|
14 |
14 |
$305.06 |
| 86200 |
|
24 |
24 |
$301.06 |
| 90713 |
|
30 |
30 |
$298.87 |
| 82040 |
|
58 |
57 |
$282.61 |
| 83735 |
|
41 |
40 |
$265.63 |
| 90714 |
|
12 |
12 |
$260.24 |
| 84075 |
|
45 |
44 |
$256.94 |
| 74018 |
|
12 |
12 |
$254.64 |
| 90647 |
|
4,948 |
4,852 |
$205.61 |
| 86431 |
|
38 |
38 |
$202.89 |
| 92587 |
|
12 |
12 |
$188.81 |
| 84480 |
|
12 |
12 |
$181.66 |
| 84155 |
|
43 |
42 |
$171.40 |
| 99441 |
|
48 |
48 |
$144.79 |
| 90633 |
|
3,298 |
3,255 |
$141.80 |
| 90688 |
|
102 |
102 |
$138.00 |
| 87467 |
|
44 |
30 |
$136.76 |
| 84550 |
|
29 |
27 |
$129.19 |
| 82784 |
|
13 |
12 |
$127.60 |
| 90696 |
|
466 |
462 |
$113.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
12 |
$50.27 |
| 90700 |
|
578 |
576 |
$21.89 |
| 90677 |
|
664 |
651 |
$15.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.95 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
15 |
$0.24 |
| 90681 |
|
2,094 |
2,046 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
34 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
54 |
$0.00 |
| 91300 |
|
374 |
335 |
$0.00 |
| V5266 |
Battery for use in hearing device |
13 |
13 |
$0.00 |
| 73110 |
|
13 |
12 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |
| 91307 |
|
49 |
44 |
$0.00 |
| 90632 |
|
17 |
17 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 99000 |
|
30 |
27 |
$0.00 |