| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,288 |
8,586 |
$699K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,914 |
9,196 |
$545K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,696 |
3,631 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,709 |
1,680 |
$119K |
| X5622 |
|
2,096 |
2,017 |
$103K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,826 |
6,719 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,434 |
1,394 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
716 |
711 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
966 |
602 |
$43K |
| 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 |
337 |
333 |
$26K |
| 99215 |
Prolong outpt/office vis |
358 |
327 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
6,597 |
5,969 |
$22K |
| 99188 |
|
1,559 |
1,538 |
$20K |
| 92551 |
|
2,397 |
2,376 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
727 |
715 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
151 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
185 |
182 |
$10K |
| 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 |
338 |
333 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
115 |
102 |
$7K |
| 80053 |
Comprehensive metabolic panel |
579 |
549 |
$6K |
| 90686 |
|
1,474 |
1,442 |
$6K |
| 99177 |
|
844 |
830 |
$5K |
| 80061 |
Lipid panel |
374 |
363 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
757 |
747 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
96 |
90 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
109 |
106 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
475 |
424 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
188 |
182 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
36 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
18 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
38 |
27 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
30 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
256 |
243 |
$2K |
| 99173 |
|
1,644 |
1,625 |
$2K |
| 0071A |
|
57 |
36 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
44 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$1K |
| 83655 |
|
39 |
39 |
$1K |
| 90670 |
|
818 |
801 |
$994.87 |
| 36416 |
|
310 |
297 |
$878.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
56 |
$849.97 |
| 0072A |
|
19 |
19 |
$812.63 |
| 80050 |
General health panel |
15 |
15 |
$803.85 |
| 90651 |
|
45 |
45 |
$767.31 |
| 96127 |
|
192 |
192 |
$747.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
79 |
75 |
$666.59 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
56 |
$456.91 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$422.57 |
| 90656 |
|
34 |
33 |
$390.58 |
| 0001A |
|
35 |
35 |
$386.76 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$308.88 |
| 0002A |
|
19 |
19 |
$276.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$233.60 |
| 90707 |
|
186 |
185 |
$168.56 |
| 86803 |
|
12 |
12 |
$163.93 |
| 90716 |
|
235 |
234 |
$161.38 |
| 90715 |
|
18 |
17 |
$114.30 |
| 87081 |
|
13 |
13 |
$95.10 |
| 85018 |
|
26 |
26 |
$69.56 |
| 90633 |
|
242 |
232 |
$0.00 |
| 90681 |
|
128 |
106 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |
| 90647 |
|
520 |
494 |
$0.00 |
| 90723 |
|
508 |
465 |
$0.00 |
| 90677 |
|
54 |
53 |
$0.00 |