| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,281 |
42,499 |
$3.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,805 |
13,332 |
$698K |
| 99000 |
|
8,061 |
7,503 |
$177K |
| 80306 |
|
12,242 |
9,317 |
$149K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,725 |
3,535 |
$145K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,163 |
3,999 |
$124K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,165 |
4,002 |
$124K |
| X5622 |
|
6,458 |
5,117 |
$111K |
| 99442 |
|
1,819 |
1,561 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,641 |
6,349 |
$67K |
| 36415 |
Collection of venous blood by venipuncture |
16,433 |
14,589 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
923 |
892 |
$54K |
| 87808 |
|
3,913 |
3,708 |
$46K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
825 |
812 |
$46K |
| 99441 |
|
1,334 |
1,165 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
717 |
657 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
644 |
619 |
$36K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,580 |
1,555 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,671 |
2,542 |
$34K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,109 |
3,591 |
$27K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
816 |
660 |
$22K |
| 86780 |
|
1,798 |
1,752 |
$21K |
| 87210 |
|
4,411 |
4,157 |
$20K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
933 |
930 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,561 |
2,384 |
$19K |
| 81025 |
|
2,688 |
2,547 |
$17K |
| 99443 |
|
285 |
228 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
300 |
219 |
$16K |
| 92551 |
|
2,898 |
2,751 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
234 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
331 |
318 |
$15K |
| 80061 |
Lipid panel |
1,389 |
1,318 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,525 |
1,357 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
799 |
782 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,623 |
1,531 |
$11K |
| 90686 |
|
1,400 |
1,341 |
$10K |
| 99215 |
Prolong outpt/office vis |
84 |
79 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
77 |
57 |
$6K |
| 99188 |
|
720 |
706 |
$5K |
| 36416 |
|
1,544 |
1,415 |
$4K |
| 80053 |
Comprehensive metabolic panel |
452 |
435 |
$4K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
235 |
232 |
$4K |
| 99173 |
|
2,830 |
2,697 |
$3K |
| 90715 |
|
421 |
411 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
288 |
284 |
$3K |
| 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 |
35 |
35 |
$3K |
| 85018 |
|
1,284 |
1,243 |
$2K |
| 90670 |
|
862 |
828 |
$2K |
| 82947 |
|
804 |
705 |
$2K |
| 96127 |
|
540 |
521 |
$2K |
| 90651 |
|
228 |
218 |
$2K |
| 90688 |
|
231 |
217 |
$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) |
438 |
420 |
$1K |
| 0064A |
|
38 |
36 |
$1K |
| 81001 |
|
498 |
483 |
$1K |
| 86803 |
|
86 |
86 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
283 |
276 |
$1K |
| 87081 |
|
257 |
253 |
$1K |
| 81003 |
|
847 |
807 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
25 |
25 |
$1K |
| 83655 |
|
180 |
166 |
$1K |
| 90656 |
|
79 |
79 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$791.91 |
| 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 |
21 |
21 |
$601.44 |
| 85027 |
|
143 |
139 |
$510.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
66 |
$503.16 |
| 96161 |
|
416 |
377 |
$499.23 |
| 0011A |
|
12 |
12 |
$490.09 |
| 90480 |
|
12 |
12 |
$448.62 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$403.30 |
| 97802 |
|
16 |
12 |
$335.09 |
| 82043 |
|
81 |
79 |
$303.87 |
| 90473 |
|
75 |
65 |
$288.72 |
| G0008 |
Administration of influenza virus vaccine |
84 |
58 |
$276.56 |
| 93000 |
|
38 |
38 |
$249.05 |
| 90734 |
|
194 |
189 |
$241.24 |
| 0001A |
|
32 |
27 |
$174.96 |
| 0002A |
|
15 |
15 |
$121.28 |
| 99383 |
|
16 |
16 |
$110.66 |
| 90648 |
|
762 |
730 |
$0.52 |
| 90633 |
|
355 |
349 |
$0.41 |
| 90723 |
|
512 |
486 |
$0.29 |
| 90710 |
|
190 |
189 |
$0.25 |
| 90696 |
|
31 |
31 |
$0.00 |
| 90716 |
|
106 |
104 |
$0.00 |
| 98967 |
|
14 |
12 |
$0.00 |
| 90732 |
|
14 |
14 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 90681 |
|
95 |
78 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
89 |
87 |
$0.00 |
| 98968 |
|
24 |
16 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90685 |
|
19 |
18 |
$0.00 |