| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,647 |
29,344 |
$2.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,934 |
23,786 |
$1.23M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
5,827 |
5,359 |
$1.22M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,192 |
14,404 |
$954K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,623 |
9,179 |
$939K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,607 |
7,432 |
$757K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,480 |
6,237 |
$637K |
| 99215 |
Prolong outpt/office vis |
3,923 |
3,668 |
$424K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,673 |
4,550 |
$397K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,807 |
1,671 |
$237K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,821 |
1,750 |
$229K |
| 99243 |
|
2,535 |
2,464 |
$214K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,374 |
3,529 |
$206K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
844 |
719 |
$201K |
| 99205 |
Prolong outpt/office vis |
1,217 |
1,153 |
$162K |
| 92015 |
Determination of refractive state |
12,388 |
11,986 |
$157K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,321 |
1,239 |
$138K |
| 90791 |
Psychiatric diagnostic evaluation |
903 |
855 |
$99K |
| 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 |
1,091 |
1,056 |
$83K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
848 |
641 |
$57K |
| 86003 |
|
541 |
422 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
12,766 |
11,822 |
$42K |
| 92557 |
|
1,451 |
1,382 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,053 |
1,004 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
589 |
544 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,246 |
1,197 |
$31K |
| 20610 |
|
768 |
699 |
$31K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
409 |
397 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
570 |
557 |
$29K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,647 |
1,593 |
$26K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
234 |
229 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,051 |
2,584 |
$21K |
| 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 |
896 |
867 |
$21K |
| 80053 |
Comprehensive metabolic panel |
1,802 |
1,576 |
$17K |
| 92060 |
|
393 |
358 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
403 |
303 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,368 |
1,333 |
$12K |
| 99442 |
|
566 |
463 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
377 |
366 |
$11K |
| 95117 |
|
1,451 |
811 |
$10K |
| 92341 |
|
348 |
346 |
$10K |
| 17110 |
|
131 |
123 |
$10K |
| 11102 |
|
158 |
155 |
$10K |
| V2020 |
Frames, purchases |
336 |
311 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
89 |
86 |
$9K |
| 92550 |
|
571 |
560 |
$8K |
| 92567 |
|
746 |
712 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,825 |
1,721 |
$8K |
| 94729 |
|
344 |
325 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
148 |
131 |
$7K |
| 84439 |
|
816 |
789 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
96 |
94 |
$7K |
| 99000 |
|
547 |
526 |
$7K |
| 99443 |
|
168 |
139 |
$6K |
| 80306 |
|
315 |
284 |
$6K |
| 94726 |
|
272 |
258 |
$6K |
| 82785 |
|
386 |
370 |
$5K |
| 80061 |
Lipid panel |
405 |
398 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
174 |
82 |
$5K |
| 85027 |
|
680 |
609 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
476 |
415 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28 |
25 |
$4K |
| 86140 |
|
688 |
659 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
229 |
168 |
$3K |
| 82728 |
|
240 |
225 |
$3K |
| 94010 |
|
153 |
150 |
$3K |
| 90785 |
|
253 |
190 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
42 |
$3K |
| 99441 |
|
187 |
120 |
$3K |
| V5266 |
Battery for use in hearing device |
91 |
87 |
$2K |
| 52000 |
|
13 |
13 |
$2K |
| 92002 |
|
39 |
39 |
$2K |
| 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) |
1,073 |
1,014 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
33 |
30 |
$2K |
| 85652 |
|
712 |
681 |
$2K |
| 11900 |
|
53 |
52 |
$2K |
| 80076 |
|
233 |
220 |
$2K |
| 86008 |
|
17 |
14 |
$2K |
| 73630 |
|
86 |
75 |
$2K |
| 81001 |
|
483 |
444 |
$1K |
| 88331 |
|
19 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
85 |
$1K |
| 94375 |
|
60 |
55 |
$1K |
| 20611 |
|
14 |
13 |
$1K |
| 82565 |
|
217 |
213 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
155 |
89 |
$1K |
| 69210 |
|
25 |
25 |
$772.43 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
27 |
$675.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$578.93 |
| 83550 |
|
68 |
67 |
$532.03 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$527.70 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
20 |
15 |
$526.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$525.31 |
| 11720 |
|
29 |
24 |
$515.45 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
17 |
12 |
$470.57 |
| 85610 |
|
108 |
77 |
$423.99 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
18 |
18 |
$388.44 |
| 51798 |
|
68 |
61 |
$388.00 |
| 92588 |
|
16 |
16 |
$363.20 |
| 94060 |
|
28 |
25 |
$354.16 |
| 90686 |
|
55 |
55 |
$302.76 |
| 95251 |
|
15 |
14 |
$298.31 |
| 92593 |
|
19 |
13 |
$294.51 |
| 92587 |
|
27 |
24 |
$286.10 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
697 |
412 |
$278.25 |
| 81025 |
|
31 |
29 |
$260.19 |
| 96415 |
|
15 |
12 |
$259.78 |
| 84460 |
|
50 |
50 |
$255.62 |
| 93325 |
|
13 |
13 |
$222.48 |
| 92133 |
|
13 |
12 |
$189.07 |
| 83540 |
|
27 |
26 |
$168.07 |
| 96127 |
|
18 |
15 |
$134.36 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$107.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
82 |
67 |
$104.83 |
| 84156 |
|
28 |
26 |
$81.54 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$78.45 |
| 84450 |
|
13 |
13 |
$65.64 |
| 82043 |
|
14 |
13 |
$58.02 |
| 99188 |
|
12 |
12 |
$45.42 |
| 92551 |
|
12 |
12 |
$17.82 |
| 99173 |
|
12 |
12 |
$3.96 |
| 82570 |
|
14 |
13 |
$0.10 |