| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,474 |
60,829 |
$4.90M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,045 |
16,509 |
$729K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,081 |
5,801 |
$598K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,285 |
18,897 |
$564K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,159 |
3,039 |
$355K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,267 |
6,222 |
$346K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17,245 |
16,473 |
$323K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,016 |
4,972 |
$298K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,461 |
4,370 |
$230K |
| 99188 |
|
10,256 |
10,216 |
$168K |
| 99441 |
|
4,506 |
4,169 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,190 |
2,132 |
$128K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,679 |
1,654 |
$120K |
| 92551 |
|
15,292 |
15,230 |
$113K |
| 90461 |
|
4,048 |
3,991 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,146 |
8,736 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,568 |
1,475 |
$59K |
| 99051 |
|
18,549 |
17,086 |
$57K |
| 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) |
4,186 |
3,467 |
$47K |
| 83655 |
|
4,855 |
4,759 |
$45K |
| 94010 |
|
1,204 |
1,125 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,346 |
1,501 |
$33K |
| 92567 |
|
2,411 |
2,277 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
353 |
$31K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
4,441 |
4,435 |
$23K |
| 99050 |
|
4,230 |
4,044 |
$22K |
| 99177 |
|
11,204 |
11,166 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
13,180 |
12,815 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
149 |
$14K |
| 99406 |
|
3,918 |
3,910 |
$13K |
| 0001A |
|
425 |
419 |
$13K |
| 0072A |
|
322 |
322 |
$12K |
| 0002A |
|
386 |
385 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,195 |
3,182 |
$11K |
| 0071A |
|
285 |
284 |
$10K |
| 90658 |
|
4,300 |
4,254 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
5,170 |
5,156 |
$8K |
| 99401 |
|
1,078 |
1,028 |
$7K |
| 99072 |
|
23,519 |
18,936 |
$7K |
| 92552 |
|
225 |
225 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
192 |
189 |
$6K |
| 99381 |
|
53 |
53 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
28 |
$4K |
| 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 |
212 |
203 |
$4K |
| 0003A |
|
98 |
98 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
259 |
$4K |
| 94060 |
|
54 |
54 |
$3K |
| 90677 |
|
361 |
360 |
$2K |
| 90651 |
|
973 |
971 |
$2K |
| 90716 |
|
1,089 |
1,081 |
$2K |
| 90715 |
|
384 |
384 |
$1K |
| 90707 |
|
1,121 |
1,112 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
131 |
128 |
$1K |
| 90656 |
|
325 |
324 |
$1K |
| 90674 |
|
174 |
174 |
$825.43 |
| 90480 |
|
29 |
29 |
$632.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$558.49 |
| 0124A |
|
15 |
15 |
$550.13 |
| 69210 |
|
14 |
12 |
$363.76 |
| 99174 |
|
863 |
851 |
$361.43 |
| 99173 |
|
801 |
795 |
$338.40 |
| 90474 |
|
43 |
43 |
$300.18 |
| 92570 |
|
14 |
14 |
$297.22 |
| 90734 |
|
796 |
794 |
$277.75 |
| 86580 |
|
28 |
27 |
$244.57 |
| 90633 |
|
1,134 |
1,125 |
$141.89 |
| 97802 |
|
43 |
40 |
$137.92 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
148 |
145 |
$133.08 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
143 |
140 |
$92.44 |
| 90672 |
|
301 |
300 |
$82.61 |
| 90657 |
|
674 |
668 |
$56.40 |
| 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 |
105 |
105 |
$50.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
109 |
106 |
$43.66 |
| 90648 |
|
1,336 |
1,330 |
$35.95 |
| 90670 |
|
1,307 |
1,300 |
$17.99 |
| 91300 |
|
611 |
555 |
$6.78 |
| 90700 |
|
707 |
704 |
$0.43 |
| 91307 |
|
599 |
552 |
$0.17 |
| 90723 |
|
820 |
815 |
$0.15 |
| 90713 |
|
384 |
384 |
$0.09 |
| 90686 |
|
278 |
278 |
$0.08 |
| 90680 |
|
767 |
762 |
$0.07 |
| 3023F |
|
56 |
53 |
$0.00 |
| 99000 |
|
9,840 |
9,528 |
$0.00 |