| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102,750 |
87,262 |
$5.77M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,407 |
34,375 |
$3.41M |
| 99199 |
Unlisted special service, procedure or report |
488,655 |
286,832 |
$2.93M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18,337 |
14,688 |
$2.40M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
9,770 |
9,179 |
$1.30M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,934 |
1,063 |
$940K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,240 |
10,117 |
$920K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,589 |
9,780 |
$908K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13,737 |
12,814 |
$866K |
| 99401 |
|
29,093 |
22,587 |
$862K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,538 |
9,299 |
$747K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20,782 |
18,350 |
$735K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,787 |
7,779 |
$724K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36,325 |
32,079 |
$672K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,780 |
5,020 |
$510K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36,228 |
32,326 |
$482K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66,450 |
57,245 |
$467K |
| 86328 |
|
9,852 |
7,743 |
$378K |
| 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 |
3,953 |
3,439 |
$292K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,397 |
4,374 |
$244K |
| 87081 |
|
33,532 |
29,842 |
$224K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
993 |
921 |
$220K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,923 |
1,531 |
$151K |
| 96112 |
|
1,278 |
1,142 |
$140K |
| 90791 |
Psychiatric diagnostic evaluation |
1,301 |
1,067 |
$136K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,801 |
13,373 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,195 |
2,950 |
$108K |
| 82465 |
|
22,237 |
19,285 |
$106K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,389 |
2,003 |
$103K |
| 87634 |
|
2,530 |
2,401 |
$73K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,153 |
1,969 |
$69K |
| 95117 |
|
7,440 |
4,043 |
$69K |
| 99443 |
|
1,095 |
912 |
$68K |
| 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 |
3,201 |
2,703 |
$61K |
| 90474 |
|
3,105 |
2,848 |
$60K |
| 99051 |
|
2,126 |
1,977 |
$53K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,828 |
1,559 |
$49K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,825 |
1,559 |
$49K |
| 96127 |
|
11,944 |
10,137 |
$48K |
| 92551 |
|
23,961 |
20,891 |
$47K |
| 80053 |
Comprehensive metabolic panel |
4,548 |
4,155 |
$44K |
| 96160 |
|
20,378 |
17,750 |
$44K |
| 90651 |
|
1,761 |
1,507 |
$40K |
| 0240U |
|
281 |
239 |
$37K |
| 81003 |
|
22,801 |
19,534 |
$35K |
| 96111 |
|
324 |
313 |
$33K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,726 |
4,291 |
$32K |
| D1206 |
Topical application of fluoride varnish |
2,165 |
1,981 |
$31K |
| 80305 |
|
1,991 |
1,814 |
$25K |
| 83655 |
|
1,768 |
1,548 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
7,004 |
6,359 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
208 |
150 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,853 |
1,618 |
$15K |
| 0072A |
|
240 |
200 |
$14K |
| 0002A |
|
263 |
210 |
$14K |
| 99173 |
|
24,450 |
21,377 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,101 |
955 |
$12K |
| 90734 |
|
662 |
602 |
$11K |
| 90686 |
|
7,293 |
6,498 |
$11K |
| 94664 |
|
1,018 |
866 |
$10K |
| 0001A |
|
329 |
117 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
932 |
826 |
$9K |
| 81001 |
|
3,158 |
2,717 |
$8K |
| 0071A |
|
144 |
110 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
777 |
671 |
$7K |
| 80061 |
Lipid panel |
471 |
413 |
$7K |
| E0570 |
Nebulizer, with compressor |
52 |
43 |
$6K |
| 69210 |
|
186 |
178 |
$6K |
| 99442 |
|
156 |
118 |
$6K |
| 90621 |
|
330 |
244 |
$5K |
| 94150 |
|
669 |
597 |
$5K |
| 90619 |
|
843 |
642 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
227 |
$5K |
| 98968 |
|
195 |
158 |
$4K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
67 |
49 |
$3K |
| 94010 |
|
165 |
147 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
783 |
676 |
$2K |
| 90715 |
|
412 |
358 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
17 |
$2K |
| A4614 |
Peak expiratory flow rate meter, hand held |
69 |
65 |
$2K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
42 |
42 |
$1K |
| 90661 |
|
1,196 |
1,106 |
$1K |
| 95115 |
|
117 |
68 |
$793.53 |
| 94760 |
|
7,054 |
5,502 |
$740.55 |
| 90674 |
|
812 |
718 |
$695.29 |
| 86308 |
|
75 |
67 |
$458.29 |
| 95012 |
|
31 |
26 |
$443.52 |
| 90670 |
|
5,793 |
5,233 |
$400.00 |
| 36416 |
|
62,430 |
53,244 |
$274.88 |
| 90716 |
|
1,100 |
942 |
$264.80 |
| 96380 |
|
16 |
15 |
$257.10 |
| 81025 |
|
35 |
25 |
$241.80 |
| 90671 |
|
1,577 |
1,468 |
$232.45 |
| 90633 |
|
1,270 |
1,110 |
$230.68 |
| 99402 |
|
33 |
15 |
$118.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
16 |
$112.80 |
| 90707 |
|
1,062 |
909 |
$74.97 |
| A4617 |
Mouth piece |
31 |
26 |
$70.00 |
| 96161 |
|
17 |
16 |
$63.58 |
| 91300 |
|
738 |
403 |
$28.60 |
| 90744 |
|
1,311 |
1,165 |
$26.08 |
| 99072 |
|
17,957 |
15,377 |
$0.88 |
| 90700 |
|
984 |
870 |
$0.00 |
| 90685 |
|
343 |
335 |
$0.00 |
| 90713 |
|
86 |
78 |
$0.00 |
| 3078F |
|
64 |
42 |
$0.00 |
| 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) |
1,345 |
1,263 |
$0.00 |
| 90698 |
|
4,060 |
3,717 |
$0.00 |
| 99000 |
|
7,627 |
6,591 |
$0.00 |
| 90680 |
|
3,199 |
2,952 |
$0.00 |
| 91307 |
|
475 |
377 |
$0.00 |
| 90647 |
|
42 |
41 |
$0.00 |
| 91305 |
|
62 |
49 |
$0.00 |
| 3044F |
|
102 |
86 |
$0.00 |
| 90697 |
|
80 |
78 |
$0.00 |
| 3074F |
|
41 |
29 |
$0.00 |