| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,659 |
19,145 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,470 |
9,640 |
$577K |
| 99215 |
Prolong outpt/office vis |
904 |
847 |
$88K |
| 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 |
738 |
709 |
$60K |
| 36415 |
Collection of venous blood by venipuncture |
17,350 |
15,416 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
524 |
513 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
643 |
418 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,272 |
1,252 |
$37K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
518 |
372 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
175 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
647 |
630 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
626 |
612 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
631 |
625 |
$17K |
| 80061 |
Lipid panel |
1,456 |
1,434 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,114 |
1,091 |
$16K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
247 |
240 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,265 |
1,234 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,652 |
1,625 |
$14K |
| 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 |
566 |
543 |
$13K |
| 97803 |
|
301 |
297 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,340 |
3,276 |
$12K |
| 90686 |
|
1,456 |
1,429 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
309 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
176 |
176 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,284 |
1,204 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
120 |
$9K |
| 80053 |
Comprehensive metabolic panel |
804 |
785 |
$8K |
| 86780 |
|
585 |
572 |
$7K |
| X5622 |
|
944 |
923 |
$7K |
| 87481 |
|
203 |
197 |
$6K |
| 76830 |
Ultrasound, transvaginal |
71 |
71 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
829 |
779 |
$6K |
| 81514 |
|
22 |
22 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
159 |
157 |
$5K |
| 92551 |
|
844 |
833 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
49 |
$4K |
| 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 |
148 |
143 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
28 |
$3K |
| 85027 |
|
514 |
500 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
136 |
132 |
$3K |
| 86803 |
|
217 |
213 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
26 |
$3K |
| 82728 |
|
209 |
207 |
$3K |
| 99188 |
|
412 |
411 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
84 |
84 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
375 |
364 |
$3K |
| 85018 |
|
1,047 |
1,006 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
24 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$2K |
| 99245 |
|
13 |
13 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
26 |
$2K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
53 |
26 |
$1K |
| 82607 |
|
80 |
80 |
$1K |
| 0064A |
|
37 |
35 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$962.82 |
| 0012A |
|
33 |
33 |
$925.24 |
| 99173 |
|
717 |
708 |
$911.37 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$905.22 |
| 87150 |
|
26 |
26 |
$901.01 |
| 87340 |
|
70 |
69 |
$706.99 |
| 0011A |
|
43 |
43 |
$702.46 |
| 90694 |
|
14 |
13 |
$552.00 |
| 83550 |
|
62 |
62 |
$541.98 |
| 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) |
94 |
88 |
$528.13 |
| 81001 |
|
174 |
169 |
$516.93 |
| 90715 |
|
26 |
26 |
$489.76 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
85 |
26 |
$436.09 |
| 83540 |
|
62 |
62 |
$401.44 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
21 |
18 |
$385.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
43 |
$380.83 |
| 90656 |
|
35 |
35 |
$346.47 |
| G0008 |
Administration of influenza virus vaccine |
48 |
38 |
$336.03 |
| 81025 |
|
28 |
26 |
$252.39 |
| 87210 |
|
40 |
40 |
$233.78 |
| 90716 |
|
13 |
13 |
$220.51 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
204 |
197 |
$177.47 |
| 87467 |
|
28 |
26 |
$173.95 |
| 99442 |
|
25 |
25 |
$166.34 |
| 96127 |
|
57 |
56 |
$158.46 |
| 36416 |
|
67 |
63 |
$154.28 |
| 85610 |
|
29 |
25 |
$121.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$84.60 |
| 86901 |
|
13 |
13 |
$39.48 |
| 86900 |
|
13 |
13 |
$39.48 |
| 81003 |
|
12 |
12 |
$26.16 |
| 90647 |
|
29 |
29 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 87015 |
|
14 |
14 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |
| 86480 |
|
13 |
13 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 87207 |
|
14 |
14 |
$0.00 |